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DR. MICHAEL REID MCCULLOUGH DO NPI 1932135704


NPI Information

NPI: 1932135704
Provider Name: DR. MICHAEL REID MCCULLOUGH, DO
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
643 S GREAT SOUTHWEST PKWY
SUITE 101
GRAND PRAIRIE, TX
ZIP 75051
Phone: (972) 988-1588
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DR. Michael Reid Mccullough, DO is an obstetrics obstetrics gynecology in Grand Prairie, TX with 38 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Michael Reid Mccullough, DO NPI is 1932135704. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1986

The provider's business location address is:

643 S GREAT SOUTHWEST PKWY
SUITE 101
GRAND PRAIRIE, TX
ZIP 75051-056
Phone: (972) 988-1588
Fax: (972) 602-0615

The NPI 1932135704 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 6/24/2006 and was last updated on 1/18/2022.


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
1207VX0000XObstetrics & GynecologyObstetricsH9682TEXASYes
2207V00000XObstetrics & GynecologyH9682TEXASNo

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
1033519201OTHERTEXASTPI
2033519201MEDICAIDTEXAS
3G74VOTHERTEXASBLUE CROSS BLUE SHIELD ID
410028878OTHERTEXASAMERIGROUP ID
51275832362MEDICAIDTEXAS
64250747OTHERTEXASAETNA ID

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.