JOHN ROGER POTTER MD NPI 1144314659

NPI Information

NPI: 1144314659
Provider Name: JOHN ROGER POTTER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
700 13TH ST
ASHLAND, KY
ZIP 41101
Phone: (606) 329-0204
Get Directions

John Roger Potter, MD is a pediatrics in Ashland, KY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. John Roger Potter, MD NPI is 1144314659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

700 13TH ST
ASHLAND, KY
ZIP 41101
Phone: (606) 329-0204
Fax: (606) 324-7770

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		17883	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12-029969	OTHER	KENTUCKY	UNITED HEALTH CARE
2	22000000063411	OTHER	KENTUCKY	ANTHEM BC/BS
3	65917544	MEDICAID	KENTUCKY
4	336109752062212	OTHER	KENTUCKY	BC SUPER BLUE PLUS
5	6109752062212	OTHER	KENTUCKY	BC PPO
6	610975206003	OTHER	KENTUCKY	MT ST BC/BS
7	0110220000	MEDICAID	WEST VIRGINIA
8	000000062599	OTHER	KENTUCKY	ANTHEM BC PROVIDER
9	64178833	MEDICAID	KENTUCKY
10	0406617	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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