DEREK MATHEW POTTER (NPI# 1336765700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336765700 |
| Entity Type | Individual |
| Full Name | DEREK MATHEW POTTER |
| Credential | FNP |
| Practice Address |
410 W 10th Ave Columbus OH 43210-1240 |
| Practice Telephone | 6142938000 |
| Mailing Telephone | 6142938000 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN.424289 | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679906481 | Derek Potter | Physician Assistant | 379 N 500 W, Suite 1a, Vernal, UT 84078-1956 | 2013-08-15 |
| Street Address |
410 W 10TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720599 | Stephen Thomas Shaw | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2005-06-14 |
| 1194324376 | Bindu Sahithya Challa | Pathology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-20 |
| 1912506320 | Qizhi Cao | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-19 |
| 1033718499 | Audra Goldsberry | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-17 |
| 1831706720 | Jamie Baldridge | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-25 |
| 1760098834 | Corey Becker | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-23 |
| 1942816400 | Thapasya Susan Thomas | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-21 |
| 1427660299 | Eileen Friery | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-08-21 |
| 1124630470 | Gretchen Junker | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-08-18 |
| 1205445053 | Allyson Helms | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564137 | Kimberly Charon Ingram | Registered Nurse | 410 Kensington Rd, Columbus, GA 31907-5455 | 2020-10-06 |
| 1841897089 | Rebecca Rowley | Registered Nurse | 1000 E Broad St Ste 100, Columbus, OH 43205-1333 | 2020-10-01 |
| 1386258739 | Emmanuel Nicholas Opuni | Registered Nurse | 1454 Barnes Dr E, Columbus, OH 43229-9001 | 2020-09-03 |
| 1235743840 | Litha Evette Ray | Registered Nurse | 1343 Orchard Park Dr, Columbus, OH 43232-9405 | 2020-09-01 |
| 1356953491 | Amber Danielle King | Registered Nurse | 4352 Westport Rd, Columbus, OH 43228-2042 | 2020-08-19 |
| 1487266607 | Amidah Home Care LLC | Registered Nurse | 2144 Sumac Loop S, Columbus, OH 43229-3939 | 2020-08-19 |
| 1003428574 | Gregory Raymon Ford Jr. | Registered Nurse | 2702 Schaul St, Columbus, GA 31906-2123 | 2020-08-17 |
| 1184235608 | Celestine Ateafacktaleh | Registered Nurse | 3217 Yellow Finch Way, Columbus, OH 43231-4517 | 2020-08-10 |
| 1689298804 | Asare B Antwi | Registered Nurse | 1556 Brookeville Ave, Columbus, OH 43229-1258 | 2020-06-03 |
| 1295356632 | Vickie L Roddy-lanier | Registered Nurse | 1186 Faber Ave, Columbus, OH 43207-2643 | 2020-04-27 |
| Find all providers in COLUMBUS | ||||
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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.