Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Jack Coulter, MD

Individual provider Otolaryngology Physician · NPI 1124477211

Dr. Michael Jack Coulter, MD is an Otolaryngology in Camp Pendleton, California. Graduated from State University of New York at Stony Brook, School of Medicine in 2016, 10 years ago. Practices with On Call Specialists Medical Group of San Diego Inc, a 144-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Mercy Cir
Camp Pendleton, CA 92055
Phone: (760) 725-6646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence D7935901 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence A150427 (CA)

Record details

NPI number1124477211
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2016
Last updated in NPPESAugust 23, 2022
Certification dateAugust 18, 2022
Mailing addressPo Box 555191, Camp Pendleton, CA 92055-5191

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice On Call Specialists Medical Group Of San Diego Inc — 144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Camp Pendleton