MARC L. CULLEN MD NPI 1659371326

NPI Information

NPI: 1659371326
Provider Name: MARC L. CULLEN, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
CHILDRENS HOSPITAL OF MICHIGAN
3901 BEAUBIEN BLVD
DETROIT, MI
ZIP 48201
Phone: (313) 831-3220
Get Directions

Marc L. Cullen, MD is a pediatric surgery surgery in Detroit, MI. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Marc L. Cullen, MD NPI is 1659371326. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CHILDRENS HOSPITAL OF MICHIGAN
3901 BEAUBIEN BLVD
DETROIT, MI
ZIP 48201
Phone: (313) 831-3220
Fax: (313) 831-3908

The NPI 1659371326 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 3/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0102X	Surgery	Surgical Critical Care	4301047728	MICHIGAN	No
2	2086S0120X	Surgery	Pediatric Surgery	4301047728	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B46403	MEDICARE UPIN	OHIO
2	1816457	MEDICAID	MICHIGAN
3	0H27729	MEDICARE PIN	MICHIGAN
4	2515273	MEDICAID	OHIO
5	04672	OTHER	OHIO	PARAMOUNT
6	4115615	MEDICAID	MICHIGAN
7	000000521507	OTHER	OHIO	ANTHEM
8	MC047728	OTHER		COMMERCIAL-COMMERCIAL NUMBER
9	MC047728	OTHER		CHAMPUS-CHAMPUS
10	B46403	MEDICARE UPIN
11	5202214	MEDICAID	MICHIGAN
12	CU4182422	MEDICARE PIN	OHIO
13	8161	OTHER		HEALTH PLAN OF MI
14	4507190	OTHER	OHIO	AETNA
15	147948	OTHER		GLHP
16	2515273	OTHER	OHIO	BCMH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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