Stephen Coulson PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036098320 Issued in IL

Legal business name

STEPHEN COULSON PC

Practice address

1115 Margate LN
Libertyville, IL 60048-2441

Phone

(847) 910-2850

NPI assigned

Apr 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Andrew Coulson, MDNPI 1841292778

Title

President

Phone

(847) 910-2850

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Andrew Coulson, M.D.

  • Internal Medicine Physician
  • Carmel, IN
  • NPI 1841292778

  Emergency Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1184068371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MARGATE LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482441",
            "telephone_number": "847-910-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MARGATE LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482441",
            "telephone_number": "847-910-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN COULSON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "COULSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-910-2850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036098320",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036098320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360983202",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie S Stanislaus, LCSW
• Joseph Starkman, D.O.
• Shawn M. Steele, CST/CSFA
• Anna Mae Stegemann, D.O.
• Jennifer Lucille Steinberg, LCSW
• Helene M Sterbling, MD
• Bryan Stewart
• August Stieber
• Devin Stieber
• Jonathan M Stimer, MD

• Emergency Medicine Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.