MCCULLOUGH MEDICAL PA NPI 1942641675

NPI Information

  • NPI: 1942641675
  • Provider Name: MCCULLOUGH MEDICAL PA
  • Classification: Urology - 2088F0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Organization
  • Doing Business As: SUNCOAST UROGYNECOLOGY & PELVIC RECONSTRUCTIVE SURGERY
  • Address: 1814 WELLNESS LN
    NEW PORT RICHEY, FL
    ZIP 34655
  • Phone: (727) 645-4541

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NPI Details

MCCULLOUGH MEDICAL PA is an urogynecology and reconstructive pelvic surgery in New Port Richey, FL. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. MCCULLOUGH MEDICAL PA NPI is 1942641675. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suncoast Urogynecology & Pelvic Reconstructive Surgery.

The provider's business location address is:

1814 WELLNESS LN
NEW PORT RICHEY, FL
ZIP 34655-357
Phone: (727) 645-4541

The provider's authorized official is Mona Mccullough .
The authorized official title is President and has the following contact phone number (727) 645-4541.

The enumeration date for this NPI number is 7/10/2013 and was last updated on 7/10/2013.

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
12088F0040XUrologyUrogynecology and Reconstructive Pelvic SurgeryME107055FLORIDAYes

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This page was last updated on: 11/21/2025

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