Michael A Mcculloch in Charlottesville - Pediatric Critical Care Medicine
Michael A Mcculloch - NPI 1033324488
Michael A Mcculloch is a Pediatric Critical Care Medicine in Charlottesville, Virginia. Michael A Mcculloch practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Michael A Mcculloch is 1033324488. The last update date is 2023-08-10.
Michael A Mcculloch's current location address is 1204 W Main St, Charlottesville, Virginia. You can contact this provider via phone number 4349240123 and fax number 4342433300. The mailing address for Michael A Mcculloch is 1204 W Main St, Charlottesville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael A Mcculloch |
|---|---|
| Address | 1204 W Main St, Charlottesville, Virginia |
| Phone Number | 4349240123 |
| Fax Number | 4342433300 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033324488 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2023-08-10 |
Provider Mailing Address Detail
| Address | 1204 W Main St |
|---|---|
| City | Charlottesville |
| State | Virginia (VA) |
| Post Code | 229032824 |
| Phone Number | 4349240123 |
| Fax Number | 4342433300 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 101262131 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4144660-00 | MD | -- | |
| 102117382 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael A Mcculloch by the Centers for Medicare & Medicaid Services?
The Michael A Mcculloch has been assigned the NPI (National Provider Identifier) 1033324488. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael A Mcculloch is physically located?
The Michael A Mcculloch is situated at the following address: 1204 W Main St, Charlottesville, VA 229032824.
What is the Michael A Mcculloch's specialty and taxonomy code?
The Michael A Mcculloch's specialty is Pediatric Critical Care Medicine, and the corresponding taxonomy code is 2080P0203X.
When did the Michael A Mcculloch receive its 1033324488?
The Michael A Mcculloch was issued its 1033324488 on 2007-05-11, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Michael A Mcculloch most recently updated or revised?
The details related to Michael A Mcculloch, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-10.