Richard D Potts (NPI# 1790987147, PAC ID# 4486738978) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1790987147 |
PAC ID by PECOS | 4486738978 |
Professional Enrollment ID | I20080223000054 |
Full Name | Richard D Potts |
Address |
125 Ocean Shore Blvd Ormond Beach FL 32176-5734 |
Gender | M |
Graduation Year | 2003 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100068 | FLORIDA HOSPITAL MEMORIAL MEDICAL CENTER |
100017 | HALIFAX HEALTH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
125 Ocean Shore Blvd, Ormond Beach, FL 32176-5734 |
Street Address |
125 OCEAN SHORE BLVD |
City | ORMOND BEACH |
State | FL |
Zip | 32176-5734 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barbara Hope | Clinical Social Worker | 152 Holland Rd, Ormond Beach, FL 32176-3205 | |
George L Ehringer | Internal Medicine | Florida Health Care Plan Inc | 1182 Ocean Shore Blvd, Ormond Beach, FL 32176-3799 |
Donald Charles Johnson Jr. | Podiatry | East Coast Podiatry Inc | 233 Osceola Ave, Ormond Beach, FL 32176-6638 |
Amanda M Kohut | Podiatry | East Coast Podiatry Inc | 233 Osceola Ave, Ormond Beach, FL 32176-6638 |
Lisa Ann Farrar | Podiatry | East Coast Podiatry Inc | 233 Osceola Ave, Ormond Beach, FL 32176-6638 |
Melissa Gad | Nurse Practitioner | 198 Vining Ct, Suite 5, Ormond Beach, FL 32176-6658 | |
Kathleen Link | Chiropractic | Kathleen Link Dc Pa | 190 Vining Ct, Ormond Beach, FL 32176-6658 |
Edwidge L Raoul | Physical Medicine and Rehabilitation | 264 S Atlantic Ave, Ormond Beach, FL 32176-8149 | |
Kurt F Scherer | Diagnostic Radiology | Florida Hospital Medical Group Inc | 264 S Atlantic Ave, Ormond Beach, FL 32176-8149 |
City | ORMOND BEACH |
Zip Code | 32176 |
Specialty | FAMILY MEDICINE |
City + Specialty | ORMOND BEACH + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.