Oak Creek OBGYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OAK CREEK OBGYN

Practice address

2510 Commons Blvd
Suite 270
Beavercreek, OH 45431-3820

Phone

(937) 431-0200

Fax

(937) 431-0488

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Michael McCullough Jr., M.D.NPI 1740287572

Title

Senior Physician of Practice

Phone

(937) 848-4850

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• William Michael McCullough Jr., MD

  • Obstetrics & Gynecology Physician
  • Centerville, OH
  • NPI 1740287572
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1417058314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE",
            "address_2": "SUITE 300",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597010",
            "telephone_number": "937-848-4850",
            "fax_number": "937-848-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD",
            "address_2": "SUITE 270",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313820",
            "telephone_number": "937-431-0200",
            "fax_number": "937-431-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CREEK OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SENIOR PHYSICIAN OF PRACTICE",
        "authorized_official_telephone_number": "937-848-4850",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin O'Brien
• Sarah Elaine O'Bryan
• Judith Ann O'Connell, D.O.
• Jill O'Connor, PA-C
• Molly O'Neill, O.D.
• Kennedy R Oak
• Daniel Gerald Obrien, DDS
• Obstetrics & Gynecology South, Inc
• Alyssa Ofat, PT, DPT
• Sonya Faye Oglesby

• Obstetrics & Gynecology Physician in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; 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.