| Cullen Medical Professionals | |
|
2005 State St Suite A Washington IN 47501-8558 | |
| (812) 254-4650 | |
| (812) 254-4081 |
| Full Name | Cullen Medical Professionals |
|---|---|
| Speciality | Family Medicine |
| Location | 2005 State St, Washington, Indiana |
| Authorized Official Name and Position | Raymond W Snowden (PRESIDENT & CEO) |
| Authorized Official Contact | 8124822345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cullen Medical Professionals 2005 State St Suite A Washington IN 47501-8558 Ph: (812) 254-4650 | Cullen Medical Professionals 2005 State St Suite A Washington IN 47501-8558 Ph: (812) 254-4650 |
| NPI Number | 1598058414 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 08/29/2011 |
| Medicare PECOS PAC ID | 4587578042 |
|---|---|
| Medicare Enrollment ID | O20040601001566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598058414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Stephanie Ann Flick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326102096 PECOS PAC ID: 0648252346 Enrollment ID: I20040605000318 |
| Provider Name | Cynthia D Gress |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982636536 PECOS PAC ID: 2062490261 Enrollment ID: I20040713001058 |
| Provider Name | Michelle Diane Lower |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215939616 PECOS PAC ID: 7214918739 Enrollment ID: I20050708000583 |
| Provider Name | Tammie L Purcell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124160478 PECOS PAC ID: 4789783770 Enrollment ID: I20070822000055 |
| Provider Name | Stacy L Kurucz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952630212 PECOS PAC ID: 5395888416 Enrollment ID: I20100211000210 |
| Provider Name | Lori A Leeds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073677126 PECOS PAC ID: 0345364071 Enrollment ID: I20100901000235 |
| Provider Name | Jon W Larson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821152976 PECOS PAC ID: 8527950047 Enrollment ID: I20100924000710 |
| Provider Name | Jeremy D Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245277557 PECOS PAC ID: 5395646137 Enrollment ID: I20110812000394 |
| Provider Name | Karen S Kolb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962566018 PECOS PAC ID: 2062304678 Enrollment ID: I20111028000642 |
| Provider Name | Amanda S Gaither |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164621371 PECOS PAC ID: 3971696188 Enrollment ID: I20121130000470 |
| Provider Name | Brooke A Knotts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669711305 PECOS PAC ID: 7214174713 Enrollment ID: I20130430000350 |
| Provider Name | Adam K Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194028670 PECOS PAC ID: 4385825751 Enrollment ID: I20131021000973 |
| Provider Name | Layn C Knies |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558759357 PECOS PAC ID: 2062737513 Enrollment ID: I20150204002460 |
| Provider Name | Haley T Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306893235 PECOS PAC ID: 1850292624 Enrollment ID: I20151007001251 |
| Provider Name | Shea N Souders |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790205862 PECOS PAC ID: 5294008900 Enrollment ID: I20170831000991 |
| Provider Name | Andrew J Krause |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609288356 PECOS PAC ID: 6002031234 Enrollment ID: I20180306001376 |
| Provider Name | Whitley A Dunn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477037968 PECOS PAC ID: 1052664521 Enrollment ID: I20181030003133 |
| Provider Name | Mitsa Y Greene |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386883783 PECOS PAC ID: 0749334431 Enrollment ID: I20200413002731 |
| Provider Name | Kami R Hopf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184250276 PECOS PAC ID: 6507279817 Enrollment ID: I20210106000310 |
| Provider Name | Megan Hornyak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811459217 PECOS PAC ID: 1355674789 Enrollment ID: I20210628001807 |
| Provider Name | Thomas Hornyak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659963510 PECOS PAC ID: 6608285986 Enrollment ID: I20210713000991 |
| Provider Name | Claire E Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366012643 PECOS PAC ID: 3274939467 Enrollment ID: I20210914002119 |
| Provider Name | Nicholas R Keesler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033848759 PECOS PAC ID: 3577944875 Enrollment ID: I20220718003103 |
| Provider Name | Shawn Michael Bumpus |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821668435 PECOS PAC ID: 9436552478 Enrollment ID: I20220810001075 |
| Provider Name | Angelica Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275277196 PECOS PAC ID: 9234515834 Enrollment ID: I20221005002212 |
Dch Health Pavilion Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1805 S State Road 57, Washington, IN 47501 Phone: 812-254-7845 Fax: 812-254-5989 | |
4th Street Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 E Main St, Washington, IN 47501 Phone: 812-486-6639 Fax: 812-698-5420 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N E 6th Street, Washington, IN 47501 Phone: 812-494-9514 Fax: 812-494-9515 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2007 State St, Washington, IN 47501 Phone: 812-254-1558 Fax: 812-885-8307 | |
Memorial Health Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 S State Road 57, Suite A, Washington, IN 47501 Phone: 812-257-1052 Fax: 812-257-1061 | |
Grand Avenue Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1402 Grand Ave, Washington, IN 47501 Phone: 812-257-0383 Fax: 812-257-0433 | |
Good Samaritan Family Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 E Walnut St, Washington, IN 47501 Phone: 812-494-9514 Fax: 812-494-9515 |