DEIRDRE M. MCCULLOUGH M.D. – NPI #1639153018
Obstetrics & Gynecology

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

DEIRDRE MCCULLOUGH is a physician located in SAN DIEGO, CA. NPPES has assigned the NPI number 1639153018 to DEIRDRE MCCULLOUGH on November 30, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VM0101X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine

The NPI profile was previously updated about 7 years ago on Jan 07, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEIRDRE MCCULLOUGH below.

NPI Profile for
DEIRDRE M. MCCULLOUGH

NPI Number
1639153018
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEIRDRE M. MCCULLOUGH
Credentials
M.D.
Primary location
7910 FROST ST
SAN DIEGO, CA 92123
Phone: (858) 966-6710 Fax:
1 Other location(s):
2200 Bergquist Dr Ste 1 OBG
Wilford Hall Medical Center
Lackland AFB, TX 78234
Phone: (210) 860-5665
Mailing address
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 92123-4223
Phone: (858) 309-6300 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VM0101X
- Obstetrics & Gynecology / Maternal & Fetal Medicine (Primary)
CA C159758
207V00000X
- Obstetrics & Gynecology
CA C159758

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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