Keane Emile McCullum, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20964 Issued in HI

Practice address

1601 E Broadway Ste 100
Columbia, MO 65201-5821

Phone

(573) 443-8796

Fax

(573) 443-8796

NPI assigned

Mar 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keane.mccullum.1@32182.direct.athenahealth.com

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.

• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Women'S Health Associates, Inc.

  • Obstetrics & Gynecology Physician
  • Columbia, MO
  • NPI 1417926676
  Medicare reassignment NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1841793510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015821",
            "telephone_number": "573-443-8796",
            "fax_number": "573-443-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BROADWAY STE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015821",
            "telephone_number": "573-443-8796",
            "fax_number": "573-443-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLUM",
        "first_name": "KEANE",
        "middle_name": "EMILE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "20964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "NAD000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Filip McCormick, M.S., CCC-SLP
• Lisa Ann McCoy, P.T.
• Christina Smith McCrae, PHD
• Catherine C McCray, M.D.
• Michael Wayne McCullough, MD
• Bradley Howell McCully, CPO
• Abby McCurry, PHARMD
• Erin Elaine McCurry
• Erika McDaniel
• Katie Lynn Karl McDannald, LCSW

• Obstetrics & Gynecology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.