Joel Emery McCullough, MD, MPH, MS

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

MD00031369 Issued in WA

Practice address

555 Cedar St
Saint Paul, MN 55101

Phone

(651) 266-1222

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Joel Emery McCullough Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spokane Regional Health District

  • Public Health or Welfare Agency
  • Spokane, WA
  • NPI 1811954373
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1730306846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CEDAR ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012209",
            "telephone_number": "651-266-1222",
            "fax_number": "509-324-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CEDAR ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55101",
            "telephone_number": "651-266-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "JOEL",
        "middle_name": "EMERY",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MN",
            "license": "63189",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IL",
            "license": "036-104845",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "MD00031369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEL",
            "last_name": "MCCULLOUGH",
            "middle_name": "EMERY",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna McCourt, MA LP
• Miriam K McCreary, MD
• Mandra J McCue, CRNA
• Anna Christine McCulloch, LGSW
• Clinton McCullough, ATC
• Tara Lynn McCullough, CNP
• Matthew McCune, LADC
• Deborah Jean McDaniel-Dunn, MA, LPCC
• Jennifer Beth McDermott, PH.D.
• Madonna Kathryn McDermott, CNP

• Public Health & General Preventive Medicine Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Public Health & General Preventive Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.