Individual provider Active NPI

Steven J. Coulter, M.D.

  • Obstetrics & Gynecology Physician
  • Fort Payne, AL
National Provider Identifier
1689626046
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18145 Issued in AL
Practice address
550 Medical Center Drive SW
Fort Payne, AL 35968-3418
Phone
(256) 845-8885
Fax
(256) 845-9546
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00018145 AL
Obstetrics & Gynecology Physician 207V00000X 18145 AL Primary

Addresses

Primary practice location

550 Medical Center Drive SW
Fort Payne, AL 35968-3418

Mailing address

550 Medical Center Dr SW
PO Box 680199
Fort Payne, AL 35968-3418
Phone (256) 845-8885

Other identifiers 2

IdentifierTypeStateIssuer
000027249MedicaidAL
27249OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101102000736 AL Practitioner - Obstetrics/Gynecology 5294722757 Reassigns benefits to 1 organization
I20190930000827 IL Practitioner - Obstetrics/Gynecology 5294722757 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00018145ALMDSpecialist
18145ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District CurrentSince Oct 7, 2019 Accepting new patients
Isbell Medical Group, P.C. Obstetrics & Gynecology CurrentSince Jul 18, 1994 Accepting new patients
McDonough County Hospital District CurrentSince Oct 7, 2019 Accepting new patients

Locations

550 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-6293

505 E Grant St
Ste 102
Macomb, IL 61455
Phone (309) 833-5959

503 E Grant St
Macomb, IL 61455
Phone (309) 833-5917

515 E Grant St
Ste 102
Macomb, IL 61455

515 E Grant St
Ste 111
Macomb, IL 61455
Phone (309) 837-6937

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Isbell Medical Group PCFort Payne, AL, CCN 018932 Rural health clinic 5% Or Greater Direct Ownership Interest (20%)
W-2 Managing Employee
Feb 1, 2018
Feb 1, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1689626046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MEDICAL CENTER DR SW",
            "address_2": "PO BOX 680199",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683418",
            "telephone_number": "256-845-8885",
            "fax_number": "256-845-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MEDICAL CENTER DRIVE SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683418",
            "telephone_number": "256-845-8885",
            "fax_number": "256-845-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "STEVEN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "00018145",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "18145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000027249",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27249",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.