Active NPI
Cullen Umosella Cullen & Cullen PC
- Internal Medicine Physician
- Oxon Hill, MD
National Provider Identifier
1952466971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI6115 | Other | MD | MEDICARE RAILROAD |
| KG10 | Other | BCBS MD | |
| 184800301 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.