DR. JAMES D. POETTCKER (NPI# 1831142868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831142868 |
Entity Type | Individual |
Full Name | DR. JAMES D. POETTCKER |
Credential | M.D. |
Practice Address |
1604 Hospital Parkway #505 Bedford TX 76022 |
Practice Telephone | 8172672678 |
Practice Fax Number | 8173540854 |
Mailing Telephone | 8172672678 |
Mailing Fax Number | 8173540854 |
Enumeration Date | 2006-05-19 |
Last Update Date | 2010-08-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | E8821 | TX | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | CERT28481, LICE8 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 120391101 | 05 | |
TN | STATE ID # | E8821 | 01 |
Street Address |
1604 HOSPITAL PARKWAY #505 |
City | BEDFORD |
State | TX |
Zip Code | 76022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356430060 | Kelly Marlene Persons | Registered Nurse | 1604 Hospital Parkway, Suite 402, Bedford, TX 76022 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376155754 | Jacquelyn H Holloway | Registered Nurse | 820 Uptown Blvd, Bedrord, TX 76022 | 2020-08-18 |
1861972556 | Red Diamond Medical Group Pllc | Internal Medicine | 2700 Tibbets Dr # 301, Bedford, TX 76022 | 2018-08-21 |
1649761958 | Florine Karimi Mati | Behavioral Analyst | 1413 Tennis Dr, Bedford, TX 76022 | 2018-05-22 |
1760836704 | Healing Hands Senior Care Service | Technician | 1152 High Point Rd., Bedford, TX 76022 | 2016-04-15 |
1972965283 | Emily Vandoren | Physical Therapist | 1705 Forest Ridge Drive, Bedford, TX 76022 | 2016-03-25 |
1396123949 | Decorla Holmes | Adult Companion | 1152 Highpoint Rd., Bedford, TX 76022 | 2015-05-15 |
1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
1649565953 | Alisa Thamwiwat | Internal Medicine | 1604 Hospital Pkwy Ste 301, Bedford, TX 76022 | 2011-06-15 |
1528227576 | Ft. Worth Home Care Inc | Home Health | 1600 Airport Freeway, Suite 503, Bedford, TX 76022 | 2008-06-05 |
1225242886 | Bedford Family Medicine, Pa | Family Medicine | 1701 Forest Ridge Dr., Bedford, TX 76022 | 2007-05-10 |
Find all providers in zip 76022 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760621114 | Daniel W Mclaughlin | Surgery | 1615 Oakwood St Ste D, Bedford, VA 24523-1250 | 2009-02-09 |
1326207176 | Ross Wright | Surgery | 179 Shawswick Road, Bedford, IN 47421 | 2008-06-06 |
1275549222 | Eugene Walper Lowe Jr. | Surgery | 1615 Oakwood Street, Suite B, Bedford, VA 24523-1250 | 2006-07-31 |
1306868716 | Peter Edward Grays | Surgery | 1909 Central Dr, Ste. 202, Bedford, TX 76021-5831 | 2006-07-24 |
1043240781 | Alexander Mathew | Surgery | 3231 Mitchell Rd, Bedford, IN 47421-5523 | 2006-07-04 |
1710963327 | Connie J Campbell | Surgery | 9 Washington Pl, Suite 203, Bedford, NH 03110-6750 | 2005-12-16 |
1174773873 | Babafemi Babawande Pratt | Surgery | 1604 Hospital Pkwy Ste 501, Bedford, TX 76022-6932 | 2008-09-30 |
1497920953 | Sajid Hussain Shah | Surgery | 1604 Hospital Pkwy Ste 501, Bedford, TX 76022-6932 | 2008-04-25 |
1902085699 | Mundo F. Rosales, M.d. P.C. | Surgery | 2512 Q St, Suite B, Bedford, IN 47421-4928 | 2007-10-30 |
1598971772 | Amanda Marie Baright | Surgery | 1615 Oakwood St, Suite B, Bedford, VA 24523-1249 | 2007-05-15 |
Find all providers in BEDFORD |
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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.