Samuel E. Potts is a Radiology in Decatur, Illinois. Samuel E. Potts practices all healthcare services and medical treatments related to Radiology. The NPI Number for Samuel E. Potts is 1326058447. The last update date is 2014-11-05.
Samuel E. Potts's current location address is 2 Memorial Dr, Decatur, Illinois. You can contact this provider via phone number 2178756980 and fax number 2178757710. The mailing address for Samuel E. Potts is 2 Memorial Dr, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel E. Potts |
|---|---|
| Address | 2 Memorial Dr, Decatur, Illinois |
| Phone Number | 2178756980 |
| Fax Number | 2178757710 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1326058447 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2014-11-05 |
Provider Mailing Address Detail
| Address | 2 Memorial Dr |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625263950 |
| Phone Number | 2178756980 |
| Fax Number | 2178757710 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 213Er0200X |
| Licence No | 16004684 |
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Definition: A doctor of podiatric medicine who specializes in medical imaging of the lower extremities. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480014432 | PALMETTA GBA-RR MEDICARE | ||
| 230121 | HEALTHLINK | ||
| 5805819 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Samuel E. Potts by the Centers for Medicare & Medicaid Services?
The Samuel E. Potts has been issued the NPI (National Provider Identifier) 1326058447. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Samuel E. Potts is located?
The Samuel E. Potts is situated at the following address: 2 Memorial Dr, Decatur, IL, 625263950.
What is the Samuel E. Potts's area of specialization and corresponding taxonomy classification?
The Samuel E. Potts's specialty field is Radiology, and it falls under the taxonomy code 213Er0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1326058447 to Samuel E. Potts?
The Samuel E. Potts received its 1326058447 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the information regarding Samuel E. Potts, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Samuel E. Potts, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-11-05.