DOREEN L POTTER (NPI# 1740266113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740266113 |
| Entity Type | Individual |
| Full Name | DOREEN L POTTER |
| Credential | PA |
| Practice Address |
1134 State Route 29 Greenwich Family Health Center Greenwich NY 12834-6107 |
| Mailing Address |
Po Box 304 Glens Falls NY 12801-0304 |
| Practice Telephone | 5186929861 |
| Practice Fax Number | 5186927947 |
| Mailing Telephone | 5186929861 |
| Mailing Fax Number | 5186927947 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2012-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 005062 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RR MEDICARE | P00370312 | 01 |
| NY | 02347400 | 05 |
| Street Address |
1134 STATE ROUTE 29 GREENWICH FAMILY HEALTH CENTER |
| City | GREENWICH |
| State | NY |
| Zip Code | 12834-6107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958810 | William A Papura | Neuromusculoskeletal Medicine & OMM | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2005-08-09 |
| 1861800351 | Brandii A Baker | Nurse Practitioner | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2014-07-28 |
| 1336497387 | Glens Falls Hospital Inc | Internal Medicine | 1134 State Route 29, Greenwich Regional Medical Center Specialty Suite, Greenwich, NY 12834-6107 | 2012-08-23 |
| 1407103922 | Glens Falls Hospital Inc | Family Medicine | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2012-08-15 |
| 1013272939 | Kristen Kelley | Family Medicine | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2012-07-06 |
| 1588928022 | North Country Sports Medicine Pplc | Orthopaedic Surgery | 1134 State Route 29, Greenwich, NY 12834-6107 | 2012-06-29 |
| 1417241266 | Ashley Lynne Watson | Nurse Practitioner | 1134 State Route 29, Greenwich, NY 12834-6107 | 2011-06-08 |
| 1982909479 | Darlene A O'dell | Physical Therapist | 1134 State Route 29, Greenwich, NY 12834-6107 | 2011-01-14 |
| 1033204698 | Frank Hiroshi Westad | Nurse Practitioner | 1134 State Route 29, Greenwich Family Health Center, Greenwich, NY 12834-6107 | 2006-10-03 |
| 1831282128 | Gerard Wichrowski | Social Worker | 1134 State Route 29, Greenwich, NY 12834-6107 | 2006-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518244458 | Ashli Marie Gifford | Speech-Language Pathologist | 10 Gray Ave., Greenwich Csd, Greenwich, NY 12834 | 2011-11-07 |
| 1700046299 | Christine C Polchowski | Massage Therapist | 2615 State Route 40, Greenwich, NY 12834 | 2008-06-10 |
| 1699952481 | Marc John Mercurio | Pharmacist | 1169 Route 29, Greenwich, NY 12834 | 2008-01-24 |
| 1003095282 | L. Arnold Wyse | Psychiatry & Neurology | 154 Stevenson Rd, Greenwich, NY 12834 | 2007-10-24 |
| 1881891398 | Mary Carpenter Lawrence | Physical Therapist | 5 Salem St, 2nd Floor, Greenwich, NY 12834 | 2007-06-28 |
| 1760511729 | Battenkill Community Services, Inc. | Day Training, Developmentally Disabled Services | 336 State Rte 29, Greenwich, NY 12834 | 2007-03-05 |
| 1508922501 | Board of Education | Local Education Agency (LEA) | 10 Gray Ave, Greenwich, NY 12834 | 2006-12-28 |
| 1396848131 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1169 Rte 29, Greenwich, NY 12834 | 2006-09-07 |
| 1134237514 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 1165 Route 29, Greenwich, NY 12834 | 2006-08-27 |
| 1386688455 | Richard S Price | Optometrist | Route 29, Greenwich, NY 12834 | 2006-06-16 |
| Find all providers in zip 12834 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831642354 | Katherine Marion French | Physician Assistant | 50 Old Field Point Rd, Third Floor, Greenwich, CT 06830-6157 | 2016-08-02 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| 1679122725 | Elissa Nicole Solomon | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-09-10 |
| 1841752300 | Miriam Sussman | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2019-04-03 |
| 1003399213 | Krista Ann Ulrich | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2018-09-13 |
| 1134645211 | Carlye Marissa Bianco | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2017-08-20 |
| 1437552064 | Nicole L Porter | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2014-09-26 |
| 1427306059 | Kathryn Marie Yunkovic | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830 | 2012-08-29 |
| 1275784068 | Jason James Salomon | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2008-10-10 |
| 1841492089 | Donna L Silverstein | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2007-06-01 |
| Find all providers in GREENWICH | ||||
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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.