Michael W Potter in Worcester - Surgery

Michael W Potter - NPI 1124004403

Michael W Potter is a Surgery in Worcester, Massachusetts. Michael W Potter practices all healthcare services and medical treatments related to Surgery. The NPI Number for Michael W Potter is 1124004403. The last update date is 2009-02-20.

Michael W Potter's current location address is 630 Plantation St, Worcester, Massachusetts. You can contact this provider via phone number 5083683190 and fax number 5083683985. The mailing address for Michael W Potter is 630 Plantation St, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael W Potter
Address 630 Plantation St, Worcester, Massachusetts
Phone Number 5083683190
Fax Number 5083683985
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124004403
Provider Enumeration Date 2005-12-19
Last Updated Date 2009-02-20

Provider Mailing Address Detail

Address 630 Plantation St
City Worcester
State Massachusetts (MA)
Post Code 16052038
Phone Number 5083683190
Fax Number 5083683985

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 160784
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
04 2472266 PRIVATE HEALTHCARE SYST.
2023718 CIGNA HEALTH PLAN
3208125 MEDICAID WELFARE
7985198 AETNA US HEALTHCARE
04 2472266 ONE HEALTH PLAN
2230931 FIRST HEALTH
70438 CHILDRENS MEDICAL
AA16160 HARVARD PILGRIM HEALTH
J22264 BLUE SHIELD HMO BLUE
784068 MVP HEALTH CARE

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FAQs about Michael W Potter

What is the unique 10-digit identification code issued to Michael W Potter by the Centers for Medicare & Medicaid Services?

The Michael W Potter has been assigned the NPI (National Provider Identifier) 1124004403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Michael W Potter is geographically located?

The Michael W Potter is physically situated at the following location: 630 Plantation St, Worcester, MA, 16052038.

What is Michael W Potter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael W Potter is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124004403 to Michael W Potter?

The Centers for Medicare & Medicaid Services originally issued the 1124004403 to Michael W Potter on 2005-12-19.

When was the information regarding Michael W Potter, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michael W Potter, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-20.

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