IndividualActive
Sophia Mccullough, MD
NPI 1790788966 · Pediatrics Physician · Waterville, OH
Provider details
- NPI number
- 1790788966
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 35083028 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1089 Pray Blvd
Waterville, OH 43566-8712
Phone: (567) 952-2100
Fax: (567) 952-2010
Street-level locationGet directions
Mailing address
3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Additional practice locations (1)
- 3125 Transverse Dr Ste CToledo, OH 43614-8008Phone: (419) 383-3771
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.