Candi McCulloch, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

050188 Issued in CT

Practice address

38 Shawandassee Rd
Waterford, CT 06385-1419

Phone

(860) 961-6229

NPI assigned

Jul 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1295099372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 SHAWANDASSEE ROAD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063581419",
            "telephone_number": "860-961-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SHAWANDASSEE RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851419",
            "telephone_number": "860-961-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCH",
        "first_name": "CANDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "050188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayeda Gynecology, PLLC
• Francis Mayeda, M.D.
• Marissa Elizabeth McCarthy, MS, CSP, LPC
• Daniel Patrick McClure, LCSW
• Patricia McClure, APRN, PMH-NP BC
• Lloyd P McDonald, D.D.S.
• Hayley McGill, OTR/L
• Courtney McLeod
• Edda H McManus, LCSW
• Medstar Surgical & Breathing Equipment, Inc.

• Internal Medicine Physician in Waterford, CT
• Providers in Waterford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.