Provider Demographics
NPI:1063459360
Name:KOLTER, JAMES STEPHEN (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:STEPHEN
Last Name:KOLTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 BARTON DRIVE
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475
Mailing Address - Country:US
Mailing Address - Phone:484-885-5543
Mailing Address - Fax:484-985-8420
Practice Address - Street 1:147 BARTON DRIVE
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475
Practice Address - Country:US
Practice Address - Phone:484-885-5543
Practice Address - Fax:484-985-8420
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD020359E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B40075Medicare UPIN
PA154008TGWMedicare ID - Type Unspecified
B40075Medicare UPIN
PA0026047000OtherKEYSTONE HEALTH PLAN EAST
PA1652888OtherHIGHMARK BLUE SHIELD