John Roger Potter
MD | Pediatrics | Male
John Roger Potter, MD is a Ashland, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Roger Potter is
700 13th St, Ashland, Kentucky - 41101. He can be contacted on phone at
606-329-0204 and fax number 606-324-7770.
John Roger Potter is a sole proprietor of his business.
NPI number (Unique professional ID) for John Roger Potter is
1144314659 which was assigned by NPPES on 02 Oct, 2006 and it was last updated on 09 Jul, 2007.
John Roger Potter license number is
17883 for Pediatrics (208000000X) in Kentucky.
John Roger Potter is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Roger Potter basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | John Roger Potter |
|---|
| Credential : | MD |
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| Gender : | Male |
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Business Address:
John Roger Potter address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 700 13th St
Ashland, KY, 41101
United States |
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| Phone Number : | 606-329-0204 |
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| Fax Number : | 606-324-7770 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1144314659 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Oct, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Roger Potter are as mentioned. Primary taxonomy code for John Roger Potter, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 17883 | KY |
Legacy Identifiers:
Other legacy medical identifiers of John Roger Potter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 336109752062212 | Other | KY | BC SUPER BLUE PLUS |
| 0110220000 | MEDICAID | WV | |
| 12-029969 | Other | KY | UNITED HEALTH CARE |
| 64178833 | MEDICAID | KY | |
| 22000000063411 | Other | KY | ANTHEM BC/BS |
| 0406617 | MEDICAID | OH | |
| 6109752062212 | Other | KY | BC PPO |
| 610975206003 | Other | KY | MT ST BC/BS |
| 000000062599 | Other | KY | ANTHEM BC PROVIDER |
| 65917544 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 700 13th St
Ashland, KY, 41101
United States |
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| Phone Number : | 606-329-0204 |
|---|
| Fax Number : | 606-324-7770 |
|---|
Business Location:
Patients can refer following map for directions to
John Roger Potter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.