RUSSELL COULTER MD – NPI #1548227606
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

RUSSELL COULTER is a physician located in SPARTA, IL. NPPES has assigned the NPI number 1548227606 to RUSSELL COULTER on May 01, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on May 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUSSELL COULTER below.

NPI Profile for
RUSSELL COULTER

NPI Number
1548227606
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUSSELL COULTER
Credentials
MD
Primary location
FAMILY HEALTH CENTRE
207 SOUTH BURNS AVE
SPARTA, IL 62286
Phone: (618) 443-3084 Fax:
1 Other location(s):
818 E Broadway St
Sparta, IL 62286-1820
Phone: (618) 443-2177
Fax: (618) 443-1380
Mailing address
818 E BROADWAY ST
SPARTA, IL 62286-1820
Phone: (618) 443-2177 Fax: (618) 443-1380
Sole Proprietor
No
Updated
Certification Date
May 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 IL 036064147

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
818 E BROADWAY ST,
SPARTA, IL 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
FAMILY HEALTH CENTRE,
SPARTA, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RUSSELL COULTER is affiliated with the following medical group(s):
  • HOSPITAL
    • SPARTA COMMUNITY HOSPITAL
      818 E BROADWAY
      SPARTA, IL 62286
  • NURSING HOME
    • COULTERVILLE REHAB & HCC
      13138 STATE ROUTE 13
      COULTERVILLE, IL 62237
    • RANDOLPH COUNTY CARE CENTER
      312 WEST BELMONT
      SPARTA, IL 62286
  • HOSPICE
    • HOSPICE OF SOUTHERN ILLINOIS, INC
      305 S ILLINOIS ST
      BELLEVILLE, IL 62220
    • VITAS HEALTHCARE CORPORATION MIDWEST
      16 EXECUTIVE DRIVE, SUITE 100
      FAIRVIEW HEIGHTS, IL 62208

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.