Healthcare Provider Details

I. General information

NPI: 1033558192
Provider Name (Legal Business Name): DARREN ROBERT CULLINAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 04/17/2025
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ DIV SURG TRANSPLANT
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-747-9889
  • Fax: 314-361-4197
Mailing address:
  • Phone: 314-747-9889
  • Fax: 314-361-4197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2015031850
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: