KATHLEEN I MCCULLOUGH MD NPI 1932117744

NPI Information

NPI: 1932117744
Provider Name: KATHLEEN I MCCULLOUGH, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
133 BROOKLINE AVE
BOSTON, MA
ZIP 02215
Phone: (617) 421-6050
Get Directions

Kathleen I Mccullough, MD is a cardiovascular disease internal medicine in Boston, MA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Kathleen I Mccullough, MD NPI is 1932117744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

133 BROOKLINE AVE
BOSTON, MA
ZIP 02215-904
Phone: (617) 421-6050
Fax: (617) 421-6083

The enumeration date for this NPI number is 8/4/2006 and was last updated on 5/31/2011.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	79413	MASSACHUSETTS	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	7592074-002	OTHER	MASSACHUSETTS	CIGNA
2	045698	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	6173497	MEDICAID	MASSACHUSETTS
4	0015272	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
5	PV338	OTHER	MASSACHUSETTS	HARVARD PILGRIM
6	B74334	MEDICARE UPIN	MASSACHUSETTS
7	J0283701	MEDICARE PIN	MASSACHUSETTS
8	J02837	OTHER	MASSACHUSETTS	BLUE CROSS

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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