Individual provider Active NPI

Larry Lorenzo McCullough, M.D.

  • Obstetrics & Gynecology Physician
  • Hereford, TX
National Provider Identifier
1275540411
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD057040L Issued in PA
Practice address
540 W 15TH St
Hereford, TX 79045-2820
Phone
(806) 364-7512
Fax
(806) 364-5256
NPI assigned
Aug 1, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD057040L PA Primary
Complex Family Planning Physician 207VC0300X S8207 TX

Addresses

Primary practice location

540 W 15TH St
Hereford, TX 79045-2820

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7042

Other identifiers 1

IdentifierTypeStateIssuer
418792401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026002296 TX Practitioner - Obstetrics/Gynecology 0042108169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Pain Management
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

540 W 15TH St
Hereford, TX 79045-2820

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Oct 15, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Oct 15, 2020 Accepting new patients
Deaf Smith County Hospital District Current Accepting new patients
Regional Employee Assistance Program Inc Obstetrics & Gynecology Current Accepting new patients
Deaf Smith County Hospital District CurrentSince Jun 6, 2023 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Echenberg Institute for Pelvic and Sexual Pain Past Accepting new patients
James Mirabile MD PA Obstetrics & Gynecology Past Accepting new patients
Deaf Smith County Hospital District Past Accepting new patients
Women's Health and Maternity Services, Inc Past Accepting new patients
Bucks County Women's Healthcare, Inc PastSince Jul 1, 2003 Accepting new patients
Robert J Echenberg MD Womens Health Pelvic Pain & Sexual Wellness PC Past Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc Past Accepting new patients

Locations

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

400 Hospital Dr
Ste 210
Corsicana, TX 75110
Phone (903) 641-4835

540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1275540411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7042",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 15TH ST",
            "city": "HEREFORD",
            "state": "TX",
            "postal_code": "790452820",
            "telephone_number": "806-364-7512",
            "fax_number": "806-364-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "LARRY",
        "middle_name": "LORENZO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD057040L",
            "primary": true
        },
        {
            "code": "207VC0300X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Complex Family Planning",
            "state": "TX",
            "license": "S8207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418792401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hereford, TX

Sources for this page

Verify at the official NPI Registry.