VICTORIA L POTOCZAK (NPI# 1427094911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427094911 |
| Entity Type | Individual |
| Full Name | VICTORIA L POTOCZAK |
| Credential | M.D. |
| Practice Address |
3618 S 4th St Terre Haute IN 47802-5543 |
| Practice Telephone | 8122388887 |
| Practice Fax Number | 8122389166 |
| Mailing Telephone | 8122388887 |
| Mailing Fax Number | 8122389166 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
01043236 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE SHIELD | 000000093386 | 01 |
| IN | 200157540 | 05 |
| Street Address |
3618 S 4TH ST |
| City | TERRE HAUTE |
| State | IN |
| Zip Code | 47802-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242364 | Sowjanya Gunukula | Dentist | 3359 S Us Hwy 41, Terre Haute, IN 47802 | 2020-07-14 |
| 1366005027 | Irma D Davis Lmft | Marriage & Family Therapist | 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 | 2019-04-18 |
| 1255892543 | Darcie Jo Antony | Dietitian, Registered | 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 | 2019-03-28 |
| 1548726003 | James Brian Levenson | Nurse Practitioner | 670 Margaret Dr, Terre Haute, IN 47802 | 2019-02-20 |
| 1972011815 | Wellness for Life Medical LLC | Clinic/Center | 3487 S 4th St, Terre Haute, IN 47802 | 2018-01-12 |
| 1992211965 | Megan Elizabeth Marietta | Nurse Practitioner | 3487 S 4th Street, Terre Haute, IN 47802 | 2017-12-28 |
| 1396187944 | Marc Keilman | Pharmacist | 1240 E Hook Dr, Terre Haute, IN 47802 | 2013-07-24 |
| 1043563364 | Indiana Hearing LLC | Hearing Aid Equipment | 3181 S 3rd Pl, Terre Haute, IN 47802 | 2012-10-24 |
| 1619241783 | Michael James Elkins Shanks | Urology | 3401 S 4th St, Terre Haute, IN 47802 | 2012-03-06 |
| 1073890208 | Christopher Allan Blila | Nurse Practitioner | 4700 Bureau Road South, Terre Haute, IN 47802 | 2011-11-16 |
| Find all providers in zip 47802 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033443106 | Munster Medical Research Foundatio | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2009-09-23 |
| 1154468270 | Daniel H Davis | Obstetrics & Gynecology | 2450 Northpark, Suite A, Columbus, IN 47203 | 2007-01-30 |
| 1528174604 | Richard Lewis Hinchman | Obstetrics & Gynecology | 6756 Mcfarland Rd, Indianapolis, IN 46227-7718 | 2006-08-22 |
| 1154345775 | Cindy Maiden Basinski | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 2200, Newburgh, IN 47630-8965 | 2006-07-27 |
| 1376543926 | Patrick A Pontee | Obstetrics & Gynecology | 5500 Hohman Ave, Hammond, IN 46320-1965 | 2005-07-26 |
| 1417956756 | Starla D Graber | Obstetrics & Gynecology | 2405 W Lexington Ave, Elkhart, IN 46514-1417 | 2005-07-19 |
| 1528623824 | 219 Health Network Inc | Obstetrics & Gynecology | 3432 169th St, Hammond, IN 46323-2542 | 2019-05-02 |
| 1861937419 | Jennifer Irene Wakeland Bigelow Md | Obstetrics & Gynecology | 461 Town Center St N, Mooresville, IN 46158-2316 | 2017-01-05 |
| 1871974337 | Functional Medicine of Carmel Inc. | Obstetrics & Gynecology | 755 W Carmel Dr, Suite 212, Carmel, IN 46032-5877 | 2015-06-10 |
| 1639566490 | Olivia Higgins | Obstetrics & Gynecology | 550 University Blvd, Indianapolis, IN 46202-5149 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
| City | TERRE HAUTE |
| Zip Code | 47802 |
Please comment or provide details below to improve the information on VICTORIA L POTOCZAK.
| 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.