Active NPI
Marina Coulter, MD
- Family Medicine Physician
- Willow Park, TX
National Provider Identifier
1144473497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N1295
- Practice address
- 101 Crown Pointe Blvd Ste 200
Willow Park, TX 76087-1191 - Phone
- (817) 599-7661
- Fax
- (817) 599-8408
- NPI assigned
- Oct 30, 2008
- Last updated
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N1295 | TX | Primary |
Addresses
Primary practice location
101 Crown Pointe Blvd Ste 200
Willow Park, TX 76087-1191
Mailing address
101 Crown Pointe Blvd Ste 200
Willow Park, TX 76087-1191
Phone (817) 599-7661
Other practice location 1
2005 Fort Worth Hwy Ste 200
Weatherford, TX 76086-4781
Phone (817) 599-7661
Other names 1
- Marina Coulter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1144473497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CROWN POINTE BLVD STE 200",
"city": "WILLOW PARK",
"state": "TX",
"postal_code": "760871191",
"telephone_number": "817-599-7661",
"fax_number": "817-599-8408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CROWN POINTE BLVD STE 200",
"city": "WILLOW PARK",
"state": "TX",
"postal_code": "760871191",
"telephone_number": "817-599-7661",
"fax_number": "817-599-8408"
}
],
"practiceLocations": [
{
"address_1": "2005 Fort Worth Hwy Ste 200",
"address_purpose": "LOCATION",
"city": "Weatherford",
"state": "TX",
"postal_code": "760864781",
"country_code": "US",
"telephone_number": "817-599-7661",
"fax_number": "817-599-8408",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COULTER",
"first_name": "MARINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-30",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N1295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARINA",
"last_name": "COULTER",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Willow Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.