Organization Active NPI

Kathleen a Cullen MD PA

  • Internal Medicine Physician
  • Seminole, FL
National Provider Identifier
1770670655
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME70549 Issued in FL
Legal business name
KATHLEEN A CULLEN MD PA
Practice address
10575 68TH Ave
Suite A1
Seminole, FL 33772-6035
Phone
(727) 392-8600
Fax
(727) 392-8686
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Dr. Kathleen A Cullen, MD
Title
Physician/Owner
Phone
(727) 392-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME70549 FL Primary

Addresses

Primary practice location

10575 68TH Ave
Suite A1
Seminole, FL 33772-6035

Mailing address

10575 68TH Ave
Suite A1
Seminole, FL 33772-6035
Phone (727) 392-8600

National Provider Directory

National Provider Directory

Locations

10575 68th Ave
Ste A1
Seminole, FL 33772
Phone (727) 392-8600

5000 Park St N
St Petersburg, FL 33709
Phone (727) 544-5446

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1770670655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10575 68TH AVE",
            "address_2": "SUITE A1",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726035",
            "telephone_number": "727-392-8600",
            "fax_number": "727-392-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10575 68TH AVE",
            "address_2": "SUITE A1",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337726035",
            "telephone_number": "727-392-8600",
            "fax_number": "727-392-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A CULLEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "727-392-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.