Organization Active NPI

Cullen Umosella Cullen & Cullen PC

  • Internal Medicine Physician
  • Oxon Hill, MD
National Provider Identifier
1952466971
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CULLEN UMOSELLA CULLEN & CULLEN PC
Practice address
6188 Oxon Hill Road
Suite 704
Oxon Hill, MD 20745-3151
Phone
(301) 839-2790
Fax
(301) 839-3042
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Edward Thomas Cullen, MD
Title
President
Phone
(301) 839-2790

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

6188 Oxon Hill Road
Suite 704
Oxon Hill, MD 20745-3151

Mailing address

6188 Oxon Hill Road
Suite 704
Oxon Hill, MD 20745-3151
Phone (301) 839-2790

Other identifiers 3

IdentifierTypeStateIssuer
CI6115OtherMDMEDICARE RAILROAD
KG10OtherBCBS MD
184800301MedicaidMD

National Provider Directory

National Provider Directory

Locations

2205 Crain Hwy
Ste 200
Waldorf, MD 20601

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1952466971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL ROAD",
            "address_2": "SUITE 704",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453151",
            "telephone_number": "301-839-2790",
            "fax_number": "301-839-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL ROAD",
            "address_2": "SUITE 704",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453151",
            "telephone_number": "301-839-2790",
            "fax_number": "301-839-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLEN UMOSELLA CULLEN & CULLEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-839-2790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CI6115",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD",
            "identifier": "KG10",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184800301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.