Nannette McCullough, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

42424 Issued in KY

Practice address

600 Memorial Ave
Cumberland, MD 21502-3765

Phone

(310) 723-4100

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Cumberland Emergency Medical Group PA

  • Emergency Medicine Physician
  • Cumberland, MD
  • NPI 1275639932
  NPD (past)
• Cumberland Emergency Medical Group, PA

  • Emergency Medicine Physician
  • Cumberland, MD
  • NPI 1417132481
  NPD (past)
• Western Baptist Medical Ventures, Inc.

  • Neurological Surgery Physician
  • Paducah, KY
  • NPI 1316017080
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1972663201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CAMDEN AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "310-723-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "NANNETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "42424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica McCarty, FNP-C
• Deann McCloud
• Carly Ann McCormick
• Andrea McCray, LCSW
• Alice McCullough, CPED
• Paul J McCusker, PH.D.
• Ashley D McDonough, FNP-C
• Chrystle Lynn McKenzie, LCPC
• Jacqueline McKenzie
• Kelly Sue McKenzie, CRNA

• Emergency Medicine Physician in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Emergency Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.