DR. NICHOLAS T POTTER (NPI# 1174599419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174599419 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS T POTTER |
| Credential | PHD |
| Practice Address |
250 E Broadway Ave Maryville TN 37804-5782 |
| Mailing Address |
1103 Edbury Dr Knoxville TN 37922-8016 |
| Practice Telephone | 8653809746 |
| Practice Fax Number | 8653809191 |
| Mailing Telephone | 8656949090 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0203X |
Medical Genetics Specialization: Clinical Molecular Genetics |
18203 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621786 | Nicholas Potter | Dentist | 1022 W State Road 436 Ste 1008, Altamonte Springs, FL 32714-2919 | 2017-07-13 |
| 1215135975 | Nicholas Daniel Potter | Physical Therapist | 118 Cameron Indoor Stadium, Box 90555, Durham, NC 27708-0001 | 2007-07-04 |
| 1730648379 | Nicholas Potter | Pharmacist | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2019-03-13 |
| 1851806699 | Nicholas Michael Potter I | Behavior Technician | 1260 Ekhart St Ne, Grand Rapids, MI 49503-1380 | 2017-12-01 |
| 1225452519 | Nicholas Potter | Specialist/Technologist | 1 Arrowhead Dr, Kansas City, MO 64129-1651 | 2014-02-07 |
| 1619300415 | Nicholas John Potter | Otolaryngology | 200 Hawkins Dr, University of Ia Hospitals Otolaryngology 21112pfp, Iowa City, IA 52242-1009 | 2013-08-15 |
| 1598950123 | Nicholas Aaron Potter | Social Worker | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-09-06 |
| 1457471344 | Nicholas Stevenson Potter | Psychiatry & Neurology | 593 Eddy St, Apc 7 Nicu, Providence, RI 02903-4923 | 2007-04-02 |
| Street Address |
250 E BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114239308 | Jonathan L Klein | Pathology | 250 E Broadway Ave, Maryville, TN 37804-5782 | 2010-07-05 |
| 1669691838 | Mark S. Stonecypher | Pathology | 250 E Broadway Ave, Mpln, Maryville, TN 37804-5782 | 2007-04-25 |
| 1053335729 | Molecular Pathology Laboratory Network Inc | Clinical Medical Laboratory | 250 E Broadway Ave, Maryville, TN 37804-5782 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 207SG0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Molecular Genetics |
| A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215916754 | Karla J Matteson | Medical Genetics | 1930 Alcoa Hwy, Suite 435, Knoxville, TN 37920-1500 | 2006-01-12 |
Please comment or provide details below to improve the information on DR. NICHOLAS T POTTER.
| 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.