Randell J Coulter, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02001541A Issued in IN

Practice address

200 E 8TH St
Rochester, IN 46975-1614

Phone

(574) 936-2574

NPI assigned

Dec 13, 2005

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

Medicare fee-for-service enrollment

Enrolled in IN

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 Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13813/brand/1/csg/1/fhir/r4

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.

• Pic Indiana PC

  • Urgent Care Clinic/Center
  • Mishawaka, IN
  • NPI 1942546890

  IN

  Medicare reassignment NPD
• South Bend Emergency Physicians, Inc

  • Emergency Medicine Physician
  • South Bend, IN
  • NPI 1487132114

  IN

  Medicare reassignment NPD
• Community Hospital of Bremen, Inc.

  • Internal Medicine Physician
  • Bremen, IN
  • NPI 1902017080

  IN

  Medicare reassignment
• Diane M. Mackie & Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bremen, IN
  • NPI 1376525303
  NPD
• Del Pilar Medical & Urgent Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Mishawaka, IN
  • NPI 1417031907

  Family Medicine

  NPD (past)
• Family Medicine Center of Plymouth PC

  • Clinic/Center
  • Plymouth, IN
  • NPI 1942355466
  NPD (past)
• Preferred Emergency Physicians

  • Emergency Medicine Physician
  • Portland, IN
  • NPI 1457302077
  NPD (past)
• Winamac Emergency Physicians LLC

  • Emergency Medicine Physician
  • Winamac, IN
  • NPI 1033363353
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1689659732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 8TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751614",
            "telephone_number": "574-936-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 8TH ST",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469751614",
            "telephone_number": "574-936-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "RANDELL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02001541A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendi Lynn Carroll, M.A., CCC-SLP
• Nickolas Lee Childress
• Franklin Edward Choate, HSPP
• William Everett Clymer III, LCSW
• Susan Coby, MSW
• August Cox, LMFTA
• Crossroads Foot and Ankle Podiatry PC
• Holly K Cumberland, ACNS-BC, CWCN
• Melanie R Darling
• David Barts DDS PC

• All providers in Rochester, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.