Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790788966 Individual Practitioner Female Practitioner

Dr. Sophia Grecos Mccullough , MD

Pediatrics • Waterville, OH

Professional Overview & Biography Verified Profile Summary

Dr. Sophia Mccullough, MD is a registered healthcare professional specializing in Pediatrics in Waterville, OH. Practice services are available at 1089 PRAY BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1089 Pray Blvd

Waterville, OH 435668712

Telephone 5679522100
Fax 5679522010
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Waterville, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Waterville, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-23
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35083028

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0192437 (OH)
Medicaid State Provider ID
029078500 (MD)

Secondary Practice Locations

3125 Transverse Dr Ste C

Toledo, OH 436148008

Phone: 4193833771

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. William Suarez , MD

Pediatrics - Pediatric Cardiology

NPI 1063410496

Doctor of Medicine (M.D.)

NPI 1154536944

Doctor of Medicine (M.D.)

NPI 1952309593

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address October 31, 2025

Registered at 3000 ARLINGTON AVE STOP 1108, TOLEDO, OH 436142595 (Tel: 4193835023)

NPI Profile Active February 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2017

Registered at 1089 PRAY BLVD, WATERVILLE, OH 435668712 (Tel: 5679522100)

📍
Updated Business Mailing Address February 21, 2017

Registered at 3355 GLENDALE AVE., 3RD FLOOR, TOLEDO, OH 436144361 (Tel: 5679522100)

👤
Provider Name / Credentials Updated February 21, 2017

Recorded as SOPHIA MCCULLOUGH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2017

Pediatrics (License #35083028 in OH)

NPI Profile Active November 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2016

Registered at 3740 W SYLVANIA AVE, STE 250, TOLEDO, OH 436234493 (Tel: 4194736670)

📍
Updated Business Mailing Address November 08, 2016

Registered at 3355 GLENDALE AVE., 3RD FLOOR, TOLEDO, OH 436144361 (Tel: 5679522100)

👤
Provider Name / Credentials Updated November 08, 2016

Recorded as SOPHIA MCCULLOUGH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2016

Pediatrics (License #35083028 in OH)

🟢
Initial NPI Registration & Enumeration May 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790788966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: January 23, 2026
Sole Proprietor: No

Mailing Address

3000 Arlington Ave Stop 1108

Toledo, OH 436142595

Phone: 4193835322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.