SUSAN POTTER (NPI# 1871694166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871694166 |
Entity Type | Individual |
Full Name | SUSAN POTTER |
Credential | P.A. |
Practice Address |
6555 Coyle Ave Carmichael CA 95608-0302 |
Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
Practice Telephone | 9165362500 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2012-02-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | PA10542 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | INTERPLAN | 461157 | 01 |
CA | BLUE CROSS | PA10542 | 01 |
CA | CIGNA | 7251591 | 01 |
CA | PACIFICARE | 90098209 | 01 |
CA | AETNA | 5187068 | 01 |
CA | GREAT WEST | 1750460 | 01 |
CA | UNITED HEALTHCARE | 2689218 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467909358 | Susan Beatrice Potter | Occupational Therapy Assistant | 384 Rugg Rd, Schuylerville, NY 12871-2020 | 2016-09-08 |
1104311638 | Susan Ann Potter | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2018-06-27 |
1578951794 | Susan Potter | Counselor | 389 Adams St, Afton, WY 83110-0376 | 2014-12-23 |
1700184165 | Susan J Potter | Physical Therapy Assistant | 710 N 39th Ave, Yakima, WA 98902-6342 | 2011-03-09 |
1730344581 | Susan Whitehead Potter | Audiologist-Hearing Aid Fitter | 11080 Hall Rd, Sterling Heights, MI 48314-1511 | 2008-07-22 |
1447318233 | Susan L Potter | Licensed Practical Nurse | 160 Allen St, Rutland, VT 05701-4560 | 2006-12-05 |
1336225770 | Susan L Potter | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2006-10-27 |
1831270420 | Susan Mary Potter | Emergency Medicine | 500 N Highland Ave, Sherman, TX 75092-7354 | 2006-10-18 |
1669581757 | Susan Kaye Potter | Nurse Practitioner | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-08-30 |
Street Address |
6555 COYLE AVE |
City | CARMICHAEL |
State | CA |
Zip Code | 95608-0302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831191980 | Deborah K. Plante | Internal Medicine | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2005-08-10 |
1164895553 | Kimberly Dawn Beatty | Nurse Practitioner | 6555 Coyle Ave, Suite 280, Carmichael, CA 95608-0302 | 2015-11-06 |
1902273485 | Jonathan Sanz | Physician Assistant | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2015-08-31 |
1073860664 | Radhika Ananthakrishna | Pediatrics | 6555 Coyle Ave, Suite 200, Carmichael, CA 95648 | 2012-08-14 |
1023315702 | Alexis Fruge | Physician Assistant | 6555 Coyle Ave, Suite 235, Carmichael, CA 95608-0302 | 2011-02-16 |
1558699819 | Lori E Arguello-carson | Nurse Practitioner | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-11-25 |
1174850663 | Christianna Michelle Stuber | Ophthalmology | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-11-04 |
1528294436 | Trevor M Williams | Surgery | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-06-05 |
1780823526 | Kelly Ann Frances Donnelly | Nurse Practitioner | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-02-18 |
1194962803 | Palaniappan Manickam | Internal Medicine | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2009-01-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
Find all providers in zip 95608 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689210825 | Moynihan Family Practice | Family Medicine | 6620 Coyle Ave Ste 416, Carmichael, CA 95608-6338 | 2019-11-22 |
1316354830 | Donald S Staab Jr, Fnp & Jose R Sanchez, Md | Family Medicine | 3625 Mission Ave Ste D, Carmichael, CA 95608-2954 | 2014-07-16 |
1245424092 | Ritchie Wong, Md, Inc | Family Medicine | 3650 Mission Ave Ste 1, Carmichael, CA 95608-2933 | 2007-09-04 |
1366647737 | Vuong Minh Duc | Family Medicine | 4782 Marlborough Way, Carmichael, CA 95608 | 2007-06-18 |
1235332271 | Robert Howard Nelson | Family Medicine | 1309 Philomene Court, Carmichael, CA 95608 | 2007-06-07 |
1891865408 | John Joseph Champlin | Family Medicine | 6651 Madison Ave, Carmichael, CA 95608-0602 | 2006-11-09 |
1083705461 | Abrham Tekola | Family Medicine | 5740 Windmill Way, Suite # 5, Carmichael, CA 95608-1379 | 2006-09-28 |
1699866632 | Leonard Louis Magnani | Family Medicine | 1600 Mcclaren Dr, Carmichael, CA 95608-5936 | 2006-09-27 |
1255436044 | Reinhardt G Hilzinger | Family Medicine | 7124 Borrego Way, Carmichael, CA 95608-1504 | 2006-09-14 |
1184656662 | Isaac Barr Freeman | Family Medicine | 6500 Coyle Ave, Suite #5, Carmichael, CA 95608-0301 | 2006-07-07 |
Find all providers in CARMICHAEL |
City | CARMICHAEL |
Zip Code | 95608 |
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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.