CORINNE MARIE MCCULLOUGH MD
NPI 1205688108
Student in an Organized Health Care Education/Training Program in Philadelphia, PA
About Corinne Marie Mccullough Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORINNE MARIE MCCULLOUGH MD (NPI 1205688108) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corinne Marie Mccullough Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Corinne Mccullough's NPI number?
The NPI number for Corinne Mccullough is 1205688108. It was assigned to this individual provider in the NPPES registry on April 3, 2024.
Where is Corinne Mccullough located?
Corinne Mccullough practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 316-5151.
What is Corinne Mccullough's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Corinne Mccullough enrolled in Medicare?
Yes. Corinne Mccullough is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Corinne Mccullough was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Corinne Marie Mccullough, MD · NPI 1205688108
Student in an Organized Health Care Education/Training Program provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 3, 2024.
## Identity
- **NPI:** 1205688108 (Entity type: Individual)
- **Enumerated:** April 3, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 800 SPRUCE ST, Philadelphia, PA 19107-6130
- **Phone:** (215) 316-5151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1205688108) · Data from the CMS NPPES public registry.