JOHN J. POTENTE P.C. (NPI# 1639334626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639334626 |
| Entity Type | Organization |
| Organization Name | JOHN J. POTENTE P.C. |
| Practice Address |
3181 Prairie St Sw Suite 105 Grandville MI 49418-2097 |
| Practice Telephone | 6162491800 |
| Mailing Telephone | 6162491800 |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2008-07-19 |
| Authorized Official Name | DR. JOHN JOSEPH POTENTE (PRESIDENT) |
| Authorized Official Telephone | 6162491800 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2301004828 | MI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS& BLUE SHIELD | 950D152200 | 01 |
| Street Address |
3181 PRAIRIE ST SW SUITE 105 |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-2097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720063787 | Sandeep Khurana | Internal Medicine | 3181 Prairie St Sw, Suite 112, Grandville, MI 49418-2097 | 2005-12-13 |
| 1568916567 | Andrew Olson | Counselor | 3181 Prairie St Sw, Suite 100, Grandville, MI 49418-2097 | 2016-08-08 |
| 1659737815 | Tamera Vanderlind | Counselor | 3181 Prairie St Sw, Suite 100, Grandville, MI 49418-2097 | 2016-01-04 |
| 1780054239 | Darcy Porter | Counselor | 3181 Prairie St Sw, Suite #1, Grandville, MI 49418-2097 | 2015-09-27 |
| 1144416264 | Healthy Heart Cardiology, Plc | Internal Medicine | 3181 Prairie St Sw, Suite 112, Grandville, MI 49418-2097 | 2007-09-21 |
| 1225110992 | Gursharn Singh Dosanjh | Internal Medicine | 3181 Prairie St Sw, Suite 101 B, Grandville, MI 49418-2097 | 2006-10-20 |
| 1134143308 | James Calvin Howell | Dentist | 3181 Prairie St Sw, Suite 104, Grandville, MI 49418-2097 | 2006-07-27 |
| 1275552010 | Larissa Kyle Bishop | Dentist | 3181 Prairie St Sw, Suite 106, Grandville, MI 49418-2097 | 2006-07-19 |
| 1023072550 | West Michigan Rehabilitation Center, Inc | Physical Therapist | 3181 Prairie St Sw, Suite 102, Grandville, MI 49418-2097 | 2006-04-13 |
| 1407822810 | Gursharn S Dosanjh Md PC | Specialist | 3181 Prairie St Sw, Suite 101b, Grandville, MI 49418-2097 | 2006-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1235730664 | Edward W. Sparrow Hospital Association | Clinic/Center | 2900 Hannah Blvd Ste 204, East Lansing, MI 48823-5382 | 2020-11-03 |
| 1952909558 | Quilted Rose Clinical Services, Pllc | Clinic/Center | 269 Walker St Ste 256, Detroit, MI 48207-4258 | 2020-10-15 |
| 1386250694 | A Better Me Therapy, LLC | Clinic/Center | 2503 S Linden Rd Ste 259, Flint, MI 48532-5462 | 2020-09-22 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1659985042 | Passion and Purpose Pediatrics | Clinic/Center | 2944 Olden Oak Ln Apt 204, Auburn Hills, MI 48326-2177 | 2020-09-02 |
| 1710597745 | Renew Child and Family Center | Clinic/Center | 383 Starkweather St, Plymouth, MI 48170-1382 | 2020-08-04 |
| 1467075358 | Shear Pointe Inc | Clinic/Center | 1971 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2020-05-26 |
| 1992326466 | New Healthcare PC | Clinic/Center | 911 Dix St Ste B, Otsego, MI 49078-1609 | 2020-05-06 |
| 1851920581 | Emotional Wellness Group LLC | Clinic/Center | 11956 E Outer Dr, Detroit, MI 48224-2630 | 2020-04-04 |
| 1003445800 | Dr. Chris Popp, PC | Clinic/Center | 107 Aprill Dr Ste 5, Ann Arbor, MI 48103-1956 | 2020-04-03 |
| Find all providers with the same taxonomy | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
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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.