MICHAEL W POTTER (NPI# 1124004403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124004403 |
| Entity Type | Individual |
| Full Name | MICHAEL W POTTER |
| Credential | MD |
| Practice Address |
123 Summer St Suite 210 Worcester MA 01608-1312 |
| Mailing Address |
630 Plantation St Worcester MA 01605-2038 |
| Practice Telephone | 5083683190 |
| Practice Fax Number | 5083683985 |
| Mailing Telephone | 5083683190 |
| Mailing Fax Number | 5083683985 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2009-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 160784 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FIRST HEALTH | 2230931 | 01 | |
| AETNA US HEALTHCARE | 7985198 | 01 | |
| BLUE SHIELD HMO BLUE | J22264 | 01 | |
| ONE HEALTH PLAN | 04 2472266 | 01 | |
| CHILDRENS MEDICAL | 70438 | 01 | |
| MVP HEALTH CARE | 784069 | 01 | |
| FALLON COMMUNITY HEALTH | 60679 | 01 | |
| MVP HEALTH CARE | 784068 | 01 | |
| PRIVATE HEALTHCARE SYST. | 04 2472266 | 01 | |
| CIGNA HEALTH PLAN | 2023718 | 01 | |
| TUFTS HEALTH PLAN | 419312 | 01 | |
| HEALTHY START | 70438 | 01 | |
| MEDICARE B | A37468 | 01 | |
| HARVARD PILGRIM HEALTH | AA16160 | 01 | |
| BLUE CARE ELECT | J22264 | 01 | |
| MEDICAID WELFARE | 3208125 | 01 | |
| MA | 3208125 | 05 | |
| THREE RIVERS | 04 2472266 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689092207 | Michael P Potter | Dentist | 620 N Emerson Ave Ste 103, Wenatchee, WA 98801-6619 | 2014-04-01 |
| 1487906665 | Michael David Potter | Counselor | 3513 Sw H K Dodgen Loop, Suite Number 106, Temple, TX 76502-8009 | 2012-10-11 |
| 1730308180 | Michael David Potter | Nurse Practitioner | 119 N Odem St, Sinton, TX 78387-2442 | 2007-04-24 |
| 1457388191 | Michael L. Potter | Family Medicine | 70 Bower Dr Ste 240, Medford, OR 97501-3689 | 2006-06-27 |
| 1952347288 | Michael B. Potter | Family Medicine | 1569 Sloat Blvd, Suite 333, San Francisco, CA 94143-0001 | 2006-06-22 |
| 1245230143 | Michael W Potter | Neurological Surgery | 100 Dean Dr, Central Point, OR 97502-9706 | 2005-07-21 |
| 1447715677 | Michael Keith Potter | Case Management | 500 Horton Ct, Lexington, KY 40511-1075 | 2019-02-01 |
| 1598239543 | Michael Potter | Behavior Technician | 1603 Edmondson Ave, Catonsville, MD 21228-4960 | 2019-01-13 |
| 1780181586 | Michael David Potter | Technician, Pathology | 1050 Main Street, Salt Lake City, UT 84101 | 2018-04-09 |
| 1073970026 | Michael Potter Sr. | Counselor | 1406 Esplanade Ave, New Orleans, LA 70116-1803 | 2016-01-21 |
| Street Address |
123 SUMMER ST SUITE 210 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434229 | Thom A. Tarquinio | Orthopaedic Surgery | 123 Summer St, Suite 320, Worcester, MA 01608-1216 | 2005-06-02 |
| 1396352092 | Arushi Sharma | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-26 |
| 1134733280 | Freda Agyemang | Nurse Practitioner | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-06 |
| 1316559305 | Bijay Khanal | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1497367395 | Hajrah Ahsan | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1205448487 | Sajjadh Mohamed Jawahar Ali | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-19 |
| 1639781909 | Kamal Pokhrel | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1366054637 | Regina Devi Shrestha | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1912519489 | Mithun George Jacob | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-17 |
| 1194336800 | Anil Phuyal | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235273921 | Edward L Amaral | Surgery | Fallon Clinic At Worcester Medical Ctr., 20 Worcester Ctr. Blvd., Worcester, MA 01608 | 2007-02-16 |
| 1568524940 | Mohan K Korgankar | Surgery | 295 Lincoln Street, Suite #107, Worcester, MA 01605 | 2006-12-14 |
| 1235234618 | Patricia A Pisanelli | Surgery | Distefano Medical Group, 10 Winthrop Street, Worcester, MA 01655 | 2006-09-13 |
| 1215466131 | Ovninder Singh Johal | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-06-05 |
| 1669854808 | Dustin Powell | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-06-24 |
| 1356722623 | Jonson Yee | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-06-12 |
| 1053799726 | Jennifer Fantasia | Surgery | 33 Kendall St, Worcester, MA 01605-2726 | 2015-05-13 |
| 1518353663 | Robert J Mcloughlin | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-15 |
| 1578959037 | Ryan J. Hendrix | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-11 |
| 1447646492 | Parth D. Sheth | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-07 |
| Find all providers in WORCESTER | ||||
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| 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.