DR. LOWELL KENNETH POTTENGER (NPI# 1316140650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316140650 |
| Entity Type | Individual |
| Full Name | DR. LOWELL KENNETH POTTENGER |
| Credential | MD |
| Practice Address |
4400 Eden Hall Ln Joplin MO 64803 |
| Mailing Address |
Po Box 2486 Joplin MO 64803-2486 |
| Practice Telephone | 4177814090 |
| Practice Fax Number | 4147821601 |
| Mailing Telephone | 4177814090 |
| Mailing Fax Number | 4147821601 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2012-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
30716 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200600807 | 05 | |
| KS | 04936673136 | 05 |
| Street Address |
4400 EDEN HALL LN |
| City | JOPLIN |
| State | MO |
| Zip Code | 64803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851429294 | Spencer L Ellis | Counselor | 2808 S. Picher St., Joplin, MO 64803 | 2007-02-28 |
| 1295781235 | Douglas L Holtmeier | Anesthesiology | 1102 W 32nd St, Joplin, MO 64803 | 2006-05-25 |
| 1326122961 | Ozark Center | Counselor | 1949 Snowberry Lane, Joplin, MO 64803-2526 | 2006-10-24 |
| 1194810184 | Modaser - Shah | Psychiatry & Neurology | 530 E 34th St., Joplin, MO 64803-2526 | 2006-10-04 |
| 1477872265 | Randy Weiss | Radiology | 5237 Mcclelland Park Rd., Joplin, MO 64803-2785 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909756 | Jennifer Banks | Physical Therapist | 219 W 2nd St, Joplin, MO 64801-2507 | 2020-10-14 |
| 1982202883 | Unearth Potential, LLC | Behavioral Analyst | 1907 S Moffet Ave, Joplin, MO 64804-1851 | 2020-10-13 |
| 1073128724 | Austin Ray Jones | Chiropractor | 212 S Joplin Ave Ste 4, Joplin, MO 64801-2332 | 2020-09-10 |
| 1053925537 | Jill Bryant | Internal Medicine | 2615 E 15th St, Joplin, MO 64804-1006 | 2020-09-02 |
| 1053924985 | Robert Milton Davis Jr. | Counselor | 2428 S Wall Ave, Joplin, MO 64804-2661 | 2020-08-29 |
| 1902419641 | Kasandra Diane Collins | Non-emergency Medical Transport (VAN) | 2809 Santa Fe St, Joplin, MO 64801-8277 | 2020-08-24 |
| 1023620689 | Joni Lynn Baker | Social Worker | 522 W 32nd St Ste 2, Joplin, MO 64804-2533 | 2020-08-17 |
| 1528677200 | Aubri Danielle Ashbacher | Registered Nurse | 1116 S Connor Ave, Joplin, MO 64801-4216 | 2020-07-28 |
| 1871102541 | Abby Zeb | Registered Nurse | 3220 Westberry Sq, Joplin, MO 64804-1586 | 2020-07-28 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| Find all providers in JOPLIN | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092120 | Jeffrey Francis Schaffer | Radiology | 918 W Laurel Rd, Joplin, MO 64801-1052 | 2020-01-23 |
| 1477872265 | Randy Weiss | Radiology | 5237 Mcclelland Park Rd., Joplin, MO 64803-2785 | 2010-05-19 |
| 1386745503 | Southwest Radiology Ltd | Radiology | 1722 West 27th Street, Joplin, MO 64804 | 2006-09-26 |
| 1053604066 | Yara Touma | Radiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2011-05-24 |
| 1043525959 | Jane Seto | Radiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2010-08-16 |
| 1699935064 | Jacob Andrew Sedrick | Radiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2008-06-10 |
| 1467637769 | Hublall Radiology, LLC | Radiology | 1905 W 32nd St, Joplin, MO 64804-1529 | 2008-01-04 |
| 1962518530 | Joshua Michael Ball | Radiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-08-23 |
| 1003822123 | John K Williams | Radiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-07-31 |
| 1821004946 | Paul S Jones | Radiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2006-07-31 |
| Find all providers in JOPLIN | ||||
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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.