JON WARREN POTTER (NPI# 1093785180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093785180 |
| Entity Type | Individual |
| Full Name | JON WARREN POTTER |
| Credential | D.O. |
| Practice Address |
3940 Oakwood Hills Pkwy Ste 2 Eau Claire WI 54701-8888 |
| Practice Telephone | 7155527303 |
| Practice Fax Number | 7155527355 |
| Mailing Telephone | 7155527303 |
| Mailing Fax Number | 7155527355 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
04791 | IA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036-132113 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
44787-021 | WI | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
JP016277 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4693501 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 1055201131 | 01 |
| MI | RAILROAD MEDICARE | P00165661 | 01 |
| WI | 43546500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 915 13th Ave N, Clinton, IA 527325067 | 5632432511 | 5632430817 |
| Street Address |
3940 OAKWOOD HILLS PKWY STE 2 |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54701-8888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881184091 | Tabetha Christy Patrow | Nurse Practitioner | 3940 Oakwood Hills Pkwy Ste 2, Eau Claire, WI 54701-8888 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887563 | Molly Amanda Haferman | Pharmacist | 3184 London Road, Eau Claire, WI 54701 | 2020-09-24 |
| 1194375915 | Moments Hospice of Eau Claire LLC | Hospice Care, Community Based | 2263 East Ridge Center, Eau Claire, WI 54701 | 2019-09-13 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1619450954 | Michael Brown | Case Manager/Care Coordinator | 102 S Barstow St, Eau Claire, WI 54701 | 2018-09-12 |
| 1417436569 | Valerie Jayne Both | Social Worker | 1000 Starr Avenue, Eau Claire, WI 54701 | 2018-08-09 |
| 1023519055 | Rachel Delanois | Specialist/Technologist | Kinesiology --mcphee Physical Education Center 208, 509 University Drive, Eau Claire, WI 54701 | 2018-02-25 |
| 1427564863 | Matayla Springstroh | Specialist/Technologist | 509 University Drive, Eau Claire, WI 54701 | 2017-12-21 |
| 1265981062 | Molly Hart | Student in an Organized Health Care Education/Training Program | 509 University Dr., Eau Claire, WI 54701 | 2016-09-22 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1699104059 | Susan Marie Keller | Speech-Language Pathologist | 3656 Mull Dr., Dove Healthcare - South, Eau Claire, WI 54701 | 2013-11-06 |
| Find all providers in zip 54701 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528031069 | Charles R Nordstrom Jr. | Internal Medicine | 127 Canterbury Rd, Eau Claire, WI 54701-7105 | 2006-02-07 |
| 1770933632 | Deepti Anna Jacob | Internal Medicine | 1221 Whipple St, Eau Claire, WI 54703 | 2016-06-21 |
| 1114345436 | Sushil Kumar Garg | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2014-04-03 |
| 1619225505 | Jorge David Machicado Rivero | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2012-08-27 |
| 1750648820 | Jeffrey Alan Hubers | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2012-04-13 |
| 1417274218 | Maria Samuel | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2010-05-03 |
| 1194879262 | Nadim Isam Salfiti | Internal Medicine | 1221 Whipple St, Eau Claire, WI 54703 | 2007-01-23 |
| 1215008875 | Thomas P Peller Md Sc | Internal Medicine | 714 W Hamilton Ave, Eau Claire, WI 54701-6937 | 2006-11-13 |
| 1215962873 | Mainor R. Antillon-galdamez | Internal Medicine | 1400 Bellinger St, Eau Claire, WI 54703 | 2006-07-12 |
| 1497715726 | Thomas P Peller | Internal Medicine | 714 W Hamilton Ave, Eau Claire, WI 54701-6937 | 2006-03-23 |
| Find all providers in EAU CLAIRE | ||||
| City | EAU CLAIRE |
| Zip Code | 54701 |
Please comment or provide details below to improve the information on JON WARREN POTTER.
| 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.