DR. STEVEN WILLIAM POTTER (NPI# 1457417057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457417057 |
| Entity Type | Individual |
| Full Name | DR. STEVEN WILLIAM POTTER |
| Credential | D.C. |
| Practice Address |
1620 17th St Nw Faribault MN 55021-2839 |
| Practice Telephone | 5073347720 |
| Practice Fax Number | 5073347725 |
| Mailing Telephone | 5073347720 |
| Mailing Fax Number | 5073347725 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | DC29088 | CA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 4559 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUECROSS BLUESHIELD | 967S1PO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407922446 | Steven Jared Potter | Family Medicine | 480 Rigby Lake Drive, Rigby, ID 83442 | 2006-11-28 |
| 1295836153 | Steven Wayne Potter | Dentist | 921 East Fm 1187, Suite A, Crowley, TX 76036-2600 | 2006-09-25 |
| 1679582639 | Steven Darren Potter | Surgery | 287 Boulevard, Suite #1, Pompton Plains, NJ 07444-1726 | 2006-08-07 |
| 1235793803 | Steven Timothy Potter | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2019-04-29 |
| 1023179975 | Steven Mcneal Potter | Orthopaedic Surgery | 211 Old Lexington Rd, Thomasville, NC 27360 | 2006-12-13 |
| Street Address |
1620 17TH ST NW |
| City | FARIBAULT |
| State | MN |
| Zip Code | 55021-2839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073586830 | Paul Howard Hougan | Physical Therapist | 1620 17th St Nw, Faribault, MN 55021-2839 | 2006-02-10 |
| 1972734135 | Potter Chiropractic | Chiropractor | 1620 17th St Nw, Faribault, MN 55021-2839 | 2009-08-05 |
| 1043448954 | Janet Hedge | Hearing Instrument Specialist | 1620 17th St Nw, Faribault, MN 55021-2839 | 2009-06-30 |
| 1093925414 | Francine Marie Kovash | Physical Therapist | 1620 17th St Nw, Faribault, MN 55021-2839 | 2007-05-23 |
| 1689891715 | Valerie D Fisher | Acupuncturist | 1620 17th St Nw, Faribault, MN 55021-2839 | 2007-04-19 |
| 1083687875 | Amy Renee Willingham | Physical Therapist | 1620 17th St Nw, Faribault, MN 55021-2839 | 2006-02-10 |
| 1457324253 | Dyan Marie Jacobson | Physical Therapist | 1620 17th St Nw, Faribault, MN 55021-2839 | 2006-02-10 |
| 1760455588 | Therapywerks Pa | Physical Therapist | 1620 17th St Nw, Faribault, MN 55021-2839 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872831 | Kent William Lundstrom | Pharmacist | 612 4th Street Nw, Faribault, MN 55021 | 2020-08-19 |
| 1053957357 | M&t Sisters of Serendipity Pllc | Counselor | 212a Centralave, Faribault, MN 55021 | 2019-11-21 |
| 1639720485 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 200 8th Avenue Nw, Faribault, MN 55021 | 2019-09-24 |
| 1235663428 | Tanya Borchert | Social Worker | 100 State Avenue, Faribault, MN 55021 | 2017-04-14 |
| 1235589854 | Bashir Omar I | Interpreter | 2426 Park Ave # 309, Faribault, MN 55021 | 2016-06-14 |
| 1790150381 | Rainbow United Care Transportation LLC | Non-emergency Medical Transport (VAN) | 1738 Patrick Bay, Faribault, MN 55021 | 2015-12-08 |
| 1740625938 | Steven James Klapmeier | Family Medicine | 1101 Linden Lane, Mcfffrb Health Service, Faribault, MN 55021 | 2013-05-02 |
| 1528306040 | Discovery Public School of Faribault | Local Education Agency (LEA) | 126 8th St. Nw, Faribault, MN 55021 | 2013-01-17 |
| 1164790374 | Emmanuel Douah | Pharmacist | 612 4th Avenue Nw, Faribault, MN 55021 | 2011-12-02 |
| 1770873937 | Faribault Senior Living LLC | Assisted Living Facility | 843 Faribault Road, Faribault, MN 55021 | 2011-04-08 |
| Find all providers in zip 55021 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083267579 | Andrea Renee Sperl | Chiropractor | 1223 Highway 60 W, Faribault, MN 55021-4964 | 2019-07-23 |
| 1093194144 | Tara Watkins | Chiropractor | 804 Westwood Dr, Faribault, MN 55021-6652 | 2015-05-22 |
| 1639217599 | Jeffrey Charles Eaton | Chiropractor | 200 8th Ave Nw Ste 5, Faribault, MN 55021-5068 | 2007-02-02 |
| 1467517128 | Eilrich Family Chiropractic & Wellness | Chiropractor | 1620 Highway 60 W, Suite #1, Faribault, MN 55021-4874 | 2006-12-23 |
| 1528147634 | Jason Hoisington | Chiropractor | 1033 1st St Ne, Faribault, MN 55021-5407 | 2006-11-02 |
| 1902832223 | Robert James Eilrich | Chiropractor | 1620 Hwy 60 W, Suite #1, Faribault, MN 55021 | 2006-06-26 |
| 1497742449 | Lisa J. Humfeld-wilson | Chiropractor | 119 Central Ave N, Faribault, MN 55021-5210 | 2005-10-04 |
| 1235597014 | Faribault Wellness Center, P.a. | Chiropractor | 120 Central Ave N, Faribault, MN 55021-5211 | 2016-02-08 |
| 1710309976 | Krystine Michelle Kaiser | Chiropractor | 328 Heritage Pl, Suite A, Faribault, MN 55021-5251 | 2014-01-07 |
| 1427386515 | Dustin Robert Simpson | Chiropractor | 200 8th Ave Nw, Suite 5, Faribault, MN 55021-5068 | 2009-12-01 |
| Find all providers in FARIBAULT | ||||
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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.