Christopher Coulson, D.O.
Individual provider Active NPI Family Medicine Physician · Dover, OH
NPI 1932124229 · NPPES record last updated Apr 1, 2014
Key facts
- NPI
- 1932124229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34007886 (OH)
- Practice address
- 200 Medical Park Dr Suite
Dover, OH 44622 - Phone
- (740) 498-5515
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Physician Services LLC
Practice addresses (Care Compare)
60881 County Rd
Suite 9
Newcomerstown, OH 43832-9304
Phone (740) 498-9828
Hospital & facility affiliations
- Interim Healthcare of Cambridge
- Union Hospital
- Cleveland Clinic
- Genesis Hospital
- Coshocton Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040730000018 | OH | Practitioner - Family Practice | 8527038116 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007886 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Union Hospital Association | Current |
Accepting new patients | |
| The Union Hospital Association | Current |
Accepting new patients | |
| Union Physician Services, LLC | Family Medicine | Current |
Accepting new patients |
Locations
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
110 Dublin Dr
#A
Dover, OH 44622
Phone (330) 364-8038
205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335
110 Dublin Dr
Dover, OH 44622
Phone (330) 343-0753
Interoperability endpoints
- christophercoulson@dpfm.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34007886 | OH | Yes |
Addresses
Primary practice location
200 Medical Park Dr Suite
Dover, OH 44622
Mailing address
PO Box 57
West Lafayette, OH 43845-0057
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2492039 | Medicaid | OH |
Other providers in Dover, OH
- Community Pathologists Inc
- Comprehensive Care Anesthesia Services Inc
- Brandy L Cooley-Debolt
- Kelly Lee Corbin
- Margaret Corp
- Country Club Center Homes, Inc
- Country Club Center Homes, Inc
- Deborah R. Cowden
- Thomas J Cox
- Kelly Rae Dallas
All providers in Dover, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.