Active NPI
Melissa O'Cull
- Contractor
- Madeira, OH
National Provider Identifier
1477977494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- PT9673
- Practice address
- 7840 Thomas Dr
Madeira, OH 45243-1928 - Phone
- (513) 266-7038
- NPI assigned
- Feb 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | PT9673 | OH | Primary |
Addresses
Primary practice location
7840 Thomas Dr
Madeira, OH 45243-1928
Mailing address
7461 Madeira Pines Dr
Madeira, OH 45243-0016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT9673 | OH | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1477977494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7461 MADEIRA PINES DR",
"city": "MADEIRA",
"state": "OH",
"postal_code": "452430016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7840 THOMAS DR",
"city": "MADEIRA",
"state": "OH",
"postal_code": "452431928",
"telephone_number": "513-266-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CULL",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "PT9673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madeira, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.