DAVID POTTER (NPI# 1245290790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245290790 |
| Entity Type | Individual |
| Full Name | DAVID POTTER |
| Credential | MD |
| Practice Address |
41 Montebello Rd Ste 116 Pueblo CO 81001-1366 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195429638 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195429638 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 41306 | CO | Allopathic & Osteopathic Physicians |
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
41306 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 44935528 | 05 | |
| UT | T1106 | 05 | |
| RAILROAD MEDICARE | P00031286 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861055352 | David Potter | Pharmacist | 582 10th Ave Apt 2, San Francisco, CA 94118-3664 | 2019-04-19 |
| 1700842747 | David M Potter | Chiropractor | 1555 Ruth Road, Suite 3, North Brunswick, NJ 08902 | 2006-04-26 |
| 1174599096 | David B Potter | Dentist | 130 West Kansas Ave, Smith Center, KS 66967 | 2006-02-28 |
| 1376036186 | David Jaeson Potter | Optometrist | 20 W 7200 S, Midvale, UT 84047-3723 | 2018-06-07 |
| 1962843359 | David G Potter | Pharmacist | 350 7th St N, Naples, FL 34102-5754 | 2013-07-13 |
| 1629356183 | David Potter | Pharmacist | 13831 Chalco Valley Pkwy, Suite 101, Omaha, NE 68138-6101 | 2011-08-01 |
| 1639472632 | David Edmund Potter | Family Medicine | 2101 Fm 369 N, Iowa Park, TX 76367-6568 | 2010-12-13 |
| 1396759197 | David Thomas Potter | Psychiatry & Neurology | 107 S Division St, Spokane, WA 99202 | 2006-07-28 |
| 1447277967 | David G Potter | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2006-07-17 |
| 1972560076 | David C Potter | Internal Medicine | 265 Cohasset Rd, Ste 150, Chico, CA 95926 | 2006-05-01 |
| Street Address |
41 MONTEBELLO RD STE 116 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557818 | Michelle Agonoy | Registered Nurse | 41 Montebello Rd Ste 116, Pueblo, CO 81001-1366 | 2020-01-09 |
| 1295234128 | Holly Gayle Lewis | Counselor | 41 Montebello Rd Ste 116, Pueblo, CO 81001-1366 | 2018-02-06 |
| 1386181444 | Sondra Ware | Nurse Practitioner | 41 Montebello Rd Ste 116, Pueblo, CO 81001-1366 | 2017-01-27 |
| 1164974580 | Estrella Caddali | Registered Nurse | 41 Montebello Rd Ste 116, Pueblo, CO 81001 | 2016-11-02 |
| 1104194380 | Erica Dawn Whitney | Counselor | 41 Montebello Rd Ste 116, Pueblo, CO 81001-1366 | 2011-12-02 |
| 1447291851 | Kay Hooshmand Parsi | Internal Medicine | 41 Montebello Rd Ste 116, Pueblo, CO 81001 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949855 | Allpria Healthcare Centers, P.C. | Anesthesiology | 1400 S Potomac St Ste 150, Aurora, CO 80012-4541 | 2017-08-24 |
| 1144206723 | Christopher Garland Reveley | Anesthesiology | 665 Freeland Court, Estes Park, CO 80517-9610 | 2005-12-15 |
| 1346692233 | Addiction Healing Alliance | Anesthesiology | 14991 E Hampden Ave, Suite 165, Aurora, CO 80014-3983 | 2016-07-05 |
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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.