Michael A Mcculloch

MD | Pediatric Cardiology | Male

---

Complete Profile:

Michael A Mcculloch basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Michael A Mcculloch
Credential :	MD
Gender :	Male

Business Address:

Michael A Mcculloch address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1204 W Main St Charlottesville, VA, 22903-2824 United States
Phone Number :	434-924-0123
Fax Number :	434-243-3300

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1033324488
NPI Entity Type :	Individual
First Enrolment Date :	11 May, 2007
Last Updated On :	05 Mar, 2021

Medicare Participation:

Michael A Mcculloch participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3274837638
Medicare Enrollment ID :	I20170622001644
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Texas Medical School At San Antonio
Graduation Year :	2001
Accepts Medicare?	Yes. Michael A Mcculloch accepts medicare insurance.

Group Practice Association:

Michael A Mcculloch is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael A Mcculloch is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Virginia Physicians Group	4880590728	1327	1204 W Main St Fl 6 Charlottesville, VA - 229032824 Ph: 4349245321	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael A Mcculloch are as mentioned. Primary taxonomy code for Michael A Mcculloch, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	0101262131	VA
2080P0203X	Pediatrics Pediatric Critical Care Medicine	No	0101262131	VA

Legacy Identifiers:

Other legacy medical identifiers of Michael A Mcculloch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
102117382	MEDICAID	PA
4144660-00	MEDICAID	MD

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 9007 Charlottesville, VA, 22906-9007 United States

Business Location:

Patients can refer following map for directions to Michael A Mcculloch practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.