POTTER PLASTIC & RECONSTRUCTIVE SURGERY, PA (NPI# 1215314380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215314380 |
| Entity Type | Organization |
| Organization Name | POTTER PLASTIC & RECONSTRUCTIVE SURGERY, PA |
| Practice Address |
2901 Canterbury Dr Hays KS 67601 |
| Mailing Address |
1121 Oakmont St Hays KS 67601-1823 |
| Practice Telephone | 7853012250 |
| Practice Fax Number | 7853012270 |
| Mailing Telephone | 7853012250 |
| Mailing Fax Number | 7853012270 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | DR. KIRK DAVID POTTER (PRESIDENT) |
| Authorized Official Telephone | 7856391668 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
05-33528 | KS | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 05-33528 | KS | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 05-33528 | KS | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
05-33528 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
2901 CANTERBURY DR |
| City | HAYS |
| State | KS |
| Zip Code | 67601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306825476 | Kurt F. Martin | Dentist | 2901 Canterbury Dr, Hays, KS 67601-2152 | 2006-01-17 |
| 1033127485 | Canterbury Oral & Maxillofacial Surgery | Dentist | 2901 Canterbury Dr, Hays, KS 67601-2152 | 2006-08-03 |
| 1043263858 | Craig E. Miller | Dentist | 2901 Canterbury Dr, Hays, KS 67601-2152 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364218 | Kim Jacobs | Dietitian, Registered | 2020 Canterbury Drive, Hays, KS 67601 | 2019-09-10 |
| 1326696857 | David Shawn Lawson | Day Training/Habilitation Specialist | 2412 Centennial Blvd, Hays, KS 67601 | 2019-08-28 |
| 1700366085 | Teresea L Bennett | Counselor | 2501 E 13th, Building 3 Suite 10, Hays, KS 67601 | 2018-08-16 |
| 1174050785 | Meredith Lee Lewallen | Nurse Practitioner | 600 Park St # Ll045mu, Hays, KS 67601 | 2017-05-12 |
| 1447667175 | Dustin Smith | Pharmacist | 517 W 27th St., Hays, KS 67601 | 2014-07-15 |
| 1174968119 | The Evangelical Lutheran Good Samaritan Society | Clinic/Center | 220 E 8th St, Hays, KS 67601 | 2013-05-03 |
| 1417244401 | Charles Brandten Brooks | Dentist | 105 West 13th, Hays, KS 67601 | 2011-06-29 |
| 1750686697 | Jeffrey Hughwayne Lowe | Dentist | 2701 Sternberg Drive, Hays, KS 67601 | 2011-01-25 |
| 1659685758 | Cornerstone Orthodontics | Clinic/Center | 2707 Vine St., Suite 5, Hays, KS 67601 | 2010-07-30 |
| 1063748515 | Physical Therapy & Spine Rehab, LLC | Physical Therapist | 1220 E 27th St, Hays, KS 67601 | 2009-10-19 |
| Find all providers in zip 67601 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558516468 | Hays Medical Center, Inc | Surgery | 2500 Canterbury Dr, Suite 206, Hays, KS 67601-2247 | 2008-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396802898 | Eric Swanson | Surgery | 11413 Ash, Leawood, KS 66211 | 2007-01-03 |
| 1235184888 | Plastic Surgery, P.a. | Surgery | 4701 College Blvd, Suite 206, Leawood, KS 66211-1603 | 2006-05-23 |
| 1598724031 | Nicky R Wheeler | Surgery | 1700 Waterfront Parkway, Bldg 200, Wichita, KS 67206 | 2006-03-22 |
| 1598748055 | Mona A Rane | Surgery | 109 E. 11th Street, Liberal, KS 67901-2762 | 2005-11-29 |
| 1760478713 | Joseph T Poggi | Surgery | 3510 N. Ridge Road, Suite 100, Wichita, KS 67205-1210 | 2005-09-26 |
| 1609436815 | Kalila Anne Steen | Surgery | 4801 W 135th St, Leawood, KS 66224-8901 | 2019-06-19 |
| 1891247326 | Lawrence Physicians LLC | Surgery | 1130 W 4th St, Suite 3200, Lawrence, KS 66044-1328 | 2016-11-01 |
| 1538403175 | Singhal Plastic Surgery Pa | Surgery | 5250 W 94th Ter, Prairie Village, KS 66207-2502 | 2012-11-20 |
| 1750642450 | Heather Lorita Pena | Surgery | 823 Sw Mulvane St, Ste 200, Topeka, KS 66606-1764 | 2012-05-30 |
| 1043570823 | Elizabeth Anne Killion | Surgery | 4801 W 135th St, Leawood, KS 66224 | 2012-05-25 |
| Find all providers with the same taxonomy | ||||
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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.