McCullough Medical PA

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X

License

ME107055 Issued in FL

Legal business name

MCCULLOUGH MEDICAL PA

Practice address

1814 Wellness LN
New Port Richey, FL 34655-5357

Phone

(727) 645-4541

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mona McCullough, M.D.

Title

President

Phone

(727) 645-4541

Specialties & licenses 1

Addresses

Other names 1

• Suncoast Urogynecology & Pelvic Reconstructive Surgery Doing business as

Locations

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1942641675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 WELLNESS LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555357",
            "telephone_number": "727-645-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WELLNESS LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346555357",
            "telephone_number": "727-645-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-645-4541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME107055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suncoast Urogynecology & Pelvic Reconstructive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanya McClinchey
• Julia Anne McClure, LMHC
• Sidea McCord, CRANIAL PROTHESIS
• Carolyn McCoy
• Nita McCullough Mackey, APRN
• Julie Mee Jun Wong McCutcheon, PHARM.D.
• Jacqueline McDaniel, FNP
• Jaden McDaniel
• Makenna McDaniel
• Joy Arlene McDonald, PTA, LMT

• Urology Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.