Russell E Coulter (NPI# 1548227606, PAC ID# 3870515661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548227606 |
| PAC ID by PECOS | 3870515661 |
| Professional Enrollment ID | I20060314000618 |
| Full Name | Russell E Coulter |
| Organization Legal Name | SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS |
| Address |
818 E Broadway St Sparta IL 62286-1820 |
| Phone Number | 61844321771623 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709870462 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 141349 | SPARTA COMMUNITY HOSPITAL |
| 140187 | HSHS ST ELIZABETH'S HOSPITAL |
| 260180 | CHRISTIAN HOSPITAL NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 205 S Burns Ave, Sparta, IL 62286-1867 | 6184436821 | SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS |
| 207 S Burns Ave, Sparta, IL 62286-1867 | 6184433084 | SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS |
| 818 E Broadway St, Sparta, IL 62286-1820 | 61844321771623 | SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS |
| Organization Legal Name | SPARTA COMMUNITY HOSPITAL DBA QUALITY HEALTHCARE CLINICS |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Adele Demsar | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 521 N Borders Ave C, Marissa, IL 62257-1195 |
| Abby M Woods | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 205 S Burns Ave, Sparta, IL 62286-1867 |
| Deanne C Rieckenberg | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 215 S Burns Ave, Sparta, IL 62286-1894 |
| David Chung | Family Medicine | Sparta Community Hospital Dba Quality Healthcare Clinics | 207 S Burns Ave, Sparta, IL 62286-1867 |
| Shawn D Beckemeyer | Family Medicine | Sparta Community Hospital Dba Quality Healthcare Clinics | 203 E Grant St, Coulterville, IL 62237-1623 |
| Karen J Chamness | Physician Assistant | Sparta Community Hospital Dba Quality Healthcare Clinics | 9 Westwood Dr, Steeleville, IL 62288-1816 |
| Elvira Salarda | Family Medicine | Sparta Community Hospital Dba Quality Healthcare Clinics | 215 S Burns Ave, Sparta, IL 62286-1894 |
| Giuseppe C Aliperti | Gastroenterology | Sparta Community Hospital Dba Quality Healthcare Clinics | 818 E Broadway St, Sparta, IL 62286-1820 |
| Danielle R Preuss | Physician Assistant | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Destiny A Wilson | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Street Address |
818 E BROADWAY ST |
| City | SPARTA |
| State | IL |
| Zip | 62286-1820 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judith L Wuller | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Giuseppe C Aliperti | Gastroenterology | Sparta Community Hospital Dba Quality Healthcare Clinics | 818 E Broadway St, Sparta, IL 62286-1820 |
| James Robert Lundy | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Richard E Nicol | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Robert J Marshall | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| John C Vandover | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| James P Wade | Family Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Thomas A Cliatt | Emergency Medicine | Midwest Emergency Sparta, Inc. | 818 E Broadway St, Sparta, IL 62286-1820 |
| Craig S Stewart | Physician Assistant | Red Bud Regional Clinic Company LLC | 818 E Broadway St, Sparta, IL 62286-1820 |
| Neal Neuman | Urology | Sparta Community Hospital Dba Quality Healthcare Clinics | 818 E Broadway St, Sparta, IL 62286-1820 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon D Waller Davis | Certified Nurse Midwife (cnm) | Heartland Women's Healthcare Ltd | 1300 N Market St, Sparta, IL 62286-1048 |
| Danielle R Preuss | Physician Assistant | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Destiny A Wilson | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Scott I Barclay | Family Medicine | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Jennifer Ann Watson | Nurse Practitioner | Sparta Community Hospital Dba Quality Healthcare Clinics | 1300 N Market St, Sparta, IL 62286-1048 |
| Christopher Michael Murry | Chiropractic | 401 W Broadway St, Sparta, IL 62286-1639 | |
| Ryan R Reiss | Chiropractic | 202 W Jackson St A, Sparta, IL 62286-1676 | |
| Vonda K Walker | Certified Registered Nurse Anesthetist (crna) | Sparta Community Hospital Dba Quality Healthcare Clinics | 818 E Broadway St, Sparta, IL 62286-1820 |
| Linda Passini | Certified Registered Nurse Anesthetist | Sparta Community Hospital Dba Quality Healthcare Clinics | 818 E Broadway St, Sparta, IL 62286-1820 |
| Paula K Rubison | Certified Registered Nurse Anesthetist | Sparta Community Hospital Dba Quality Healthcare Clinics | 818 E Broadway St, Sparta, IL 62286-1820 |
| Find all physicians in zip 62286 | |||
| City | SPARTA |
| Zip Code | 62286 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPARTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Russell E Coulter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.