Michael L Cullen MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036078998 Issued in IL

Legal business name

MICHAEL L CULLEN MD

Practice address

4326 7TH St
Moline, IL 61265-6867

Phone

(309) 797-6611

Fax

(309) 797-7181

NPI assigned

Apr 2, 2007

Last updated

Jun 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael L Cullen, M.D.NPI 1164403598

Title

Owner

Phone

(309) 797-6611

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael L Cullen, MD

  • Neurology Physician
  • Moline, IL
  • NPI 1164403598
  NPD (past) Authorized official
• Brian J Anseeuw, MD

  • Neurology Physician
  • Moline, IL
  • NPI 1568476117
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1366562290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-797-6611",
            "fax_number": "309-797-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 7TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656867",
            "telephone_number": "309-797-6611",
            "fax_number": "309-797-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L CULLEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-797-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036078998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078998",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08100424",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA MEDICAID",
            "identifier": "094843",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Medical Laboratory, PLC
• Tracey Irene Meyer-McLoone, M.D.
• Kayla Marie Meyer, LMT
• Robert S. Meyers, PA-C
• Michael H Hurst (Hurst Chiropractic)
• Michael Laughlin DDS PC
• Midwest Hernia Institute, PC
• Courtney Mighell
• Marty Jon Milefchik, RPH
• Marcey Kay Millage, PMHNP

• Neurology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.