JOHN H POTOMSKI JR.


Address: 720 E New Haven Ave, Melbourne, FL 32901
Phone: 3217244545

JOHN H POTOMSKI JR. (NPI# 1083657183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083657183
Entity Type Individual
Full Name JOHN H POTOMSKI JR.
Credential DO CMA
Practice Address 720 E New Haven Ave
Melbourne
FL 32901
Mailing Address 720 E New Haven Ave Ste 11
Melbourne
FL 32901-5474
Practice Telephone 3217244545
Practice Fax Number 3217284168
Mailing Telephone 3217244545
Mailing Fax Number 3217284168
Enumeration Date 2006-06-14
Last Update Date 2019-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
OS4425 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 067596200 05

Office Location

Street Address 720 E NEW HAVEN AVE
City MELBOURNE
State FL
Zip Code 32901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861491565 Marva Edwards-marshall Nurse Practitioner 720 E New Haven Ave, Melbourne, FL 32901-5474 2005-07-15
1629448337 Tiffany Nicole Michaux Nurse Practitioner 720 E New Haven Ave, Melbourne, FL 32901-5474 2015-10-07
1629394440 A Advanced Hearing Care Hearing Aid Equipment 720 E New Haven Ave, Ste 12, Melbourne, FL 32901 2010-04-19
1700072725 Delia Vona Physician Assistant 720 E New Haven Ave, Melbourne, FL 32901-5474 2007-09-24
1699818971 Osler Medical Inc Internal Medicine 720 E New Haven Ave, Melbourne, FL 32901-5474 2007-02-15
1932256047 Meghan Judith Viegas Nurse Practitioner 720 E New Haven Ave, Melbourne, FL 32901-5474 2007-01-04
1114010139 Karen I. Stewart Family Medicine 720 E New Haven Ave, Melbourne, FL 32901-5474 2006-10-02
1033174750 Joan Burritt Nurse Practitioner 720 E New Haven Ave, Melbourne, FL 32901 2006-04-18
1851355093 Ningyi Huang Family Medicine 720 E New Haven Ave, Melbourne, FL 32901 2006-04-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497158125 Giovanni Lupo, Inc Internal Medicine 1032 Fieldstone Dr, Melbourne, FL 32940-1633 2014-10-08
1699818971 Osler Medical Inc Internal Medicine 720 E New Haven Ave, Melbourne, FL 32901-5474 2007-02-15
1629173273 Patrick John Berger Internal Medicine 950 S Apollo Blvd, Melbourne, FL 32901-1932 2006-09-14
1710907936 Arun Koshy Internal Medicine 1223 Gateway Dr, Suite 2f, Melbourne, FL 32901-2607 2006-07-20
1467410167 Internal Medicine and Geriatrics Associates, P.a. Internal Medicine 240 N Wickham Rd, Suite 110, Melbourne, FL 32935-8662 2006-05-02
1154389849 Sarunas S. Skirk Internal Medicine 240 N Wickham Rd, Suite 110, Melbourne, FL 32935-8662 2006-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669087722 Norma Leticia Goodrich Internal Medicine 19265 Nw 252nd St, Okeechobee, FL 34972-6966 2020-09-14
1356811897 Lake Behavioral Health Management Internal Medicine 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 2018-11-27
1528549490 Ultra Health Providers of Florida Internal Medicine 105 Asterbrooke Dr, Deland, FL 32724 2018-08-28
1710464946 Baptist Agewell Physicians Inc Internal Medicine 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 2018-07-20
1659891018 Pocketdoc Physicians Pa Internal Medicine 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 2017-06-26
1003349549 On Call Wound Care LLC Internal Medicine 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 2017-04-11
1154781284 Verimed Health Group Land O' Lakes, LLC Internal Medicine 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 2016-03-02
1083082895 Edith Maria Ortega Internal Medicine 528 Oceanfront, Neptune Beach, FL 32266 2015-09-10
1881083020 Arnold Jay Simon, M.d. Internal Medicine 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 2015-01-12
1912300575 Geriatrics and Hospitalists Associates Internal Medicine 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 2014-09-26
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Competitor

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City MELBOURNE
Zip Code 32901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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