CANDINA RANEE MCCULLOUGH M.D. NPI 1730371295

NPI Information

  • NPI: 1730371295
  • Provider Name: CANDINA RANEE MCCULLOUGH, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2000 MON HEALTH MEDICAL PARK DR STE 2100
    MORGANTOWN, WV
    ZIP 26505
  • Phone: (304) 599-6811

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NPI Details

Candina Ranee Mccullough, M.D. is an obstetrics gynecology in Morgantown, WV with 19 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Candina Ranee Mccullough, M.D. NPI is 1730371295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2007

The provider's business location address is:

2000 MON HEALTH MEDICAL PARK DR STE 2100
MORGANTOWN, WV
ZIP 26505
Phone: (304) 599-6811
Fax: (304) 599-7159

The NPI 1730371295 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 8/17/2007 and was last updated on 8/14/2018.

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
1207V00000XObstetrics & Gynecology35-097575OHIONo
2207V00000XObstetrics & Gynecology25595WEST VIRGINIAYes

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
13810022173MEDICAIDWEST VIRGINIA
20050433MEDICAIDOHIO

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: 11/21/2025

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