James G Potter in Superior - Physician Assistant
James G Potter - NPI 1669470845
James G Potter is a Physician Assistant in Superior, Wisconsin. James G Potter practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for James G Potter is 1669470845. The last update date is 2016-08-09.
James G Potter's current location address is 3500 Tower Avenue, Superior, Wisconsin. You can contact this provider via phone number 7158177100. The mailing address for James G Potter is 3500 Tower Avenue, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James G Potter |
|---|---|
| Address | 3500 Tower Avenue, Superior, Wisconsin |
| Phone Number | 7158177100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1669470845 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2016-08-09 |
Provider Mailing Address Detail
| Address | 3500 Tower Avenue |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 5488053350 |
| Phone Number | 7158177100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3621-23 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42908100 | WI | -- | |
| 1018475 | PREFERREDONE |
Post Comment/ Review Below
What is the James G Potter's 1669470845?
The James G Potter's NPI (National Provider Identifier) Number is 1669470845. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where James G Potter is located?
The James G Potter is situated at the following address: 3500 Tower Avenue, Superior, WI, 5488053350.
What is James G Potter's specialized field of practice, and what is the corresponding taxonomy classification code?
The James G Potter's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did the James G Potter receive its 1669470845?
The James G Potter was issued its 1669470845 on 2005-07-12, which is the date when the organization was assigned this unique identifier.
When was the James G Potter's information last updated?
The James G Potter's information was last updated on 2016-08-09.