Nancy Naylor McCullum, M.D.

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

MD041481E Issued in PA

Practice address

205 St. Charles Way
The Center for Cosmetic Dermatology
York, PA 17402

Phone

(717) 741-5512

Fax

(717) 741-9649

NPI assigned

Apr 3, 2007

Last updated

Dec 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dermatology Associates of York Inc

  • Dermatology Physician
  • York, PA
  • NPI 1245204023
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1528189610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WYNDWARD CT",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034494",
            "telephone_number": "717-848-2724",
            "fax_number": "717-741-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ST. CHARLES WAY",
            "address_2": "THE CENTER FOR COSMETIC DERMATOLOGY",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-741-5512",
            "fax_number": "717-741-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLUM",
        "first_name": "NANCY",
        "middle_name": "NAYLOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "PA",
            "license": "MD041481E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528189610",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linwood McCowin
• Hannah Louise McCoy
• Douglas Scott McCracken, MD
• Jenna McCracken, DO
• Kevin J McCullum, MD
• Jacob McCurry
• Kristin Zizus McDermott, OTR/L
• Colin Matthew McDonald, D.O.
• Colleen McDonald, PA-C
• Florence Elizabeth McDonald, O.D.

• Ph.D. Medical Genetics in York, PA
• Providers in York, PA by specialty
• Ph.D. Medical Genetics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.