MARTIN D. POTTERS (NPI# 1194751800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194751800 |
| Entity Type | Individual |
| Full Name | MARTIN D. POTTERS |
| Credential | P.A. |
| Practice Address |
14075 S Town Loop Blvd. Orlando FL 32837 |
| Mailing Address |
Po Box 616788 Orlando FL 32816-6788 |
| Practice Telephone | 4074385858 |
| Practice Fax Number | 4074387172 |
| Mailing Telephone | 4072533537 |
| Mailing Fax Number | 4077700661 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9100906 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291961300 | 05 |
| Street Address |
14075 S TOWN LOOP BLVD. |
| City | ORLANDO |
| State | FL |
| Zip Code | 32837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194214684 | Advance Obgyn of Central Florida | Obstetrics & Gynecology | 4170 Town Ctr Blvd Ste 104, Orlando, FL 32837 | 2018-05-09 |
| 1881124543 | Shivonne Champatsingh | Respiratory Therapist, Registered | 2730 Rolling Broak Drive, Orlando, FL 32837 | 2017-06-15 |
| 1881133858 | Peter Connole | Specialist/Technologist | 11066 Crystal Glen Blvd, Orlando, FL 32837 | 2017-02-23 |
| 1154779023 | Lemille Ruiz | Case Manager/Care Coordinator | 12925 Lslamorada Dr, Orlando, FL 32837 | 2016-06-01 |
| 1952776650 | Maryolys Rojas | Case Management | 2875 Woodruff Dr, Orlando, FL 32837 | 2015-12-07 |
| 1407230998 | Isis Cancel | Case Manager/Care Coordinator | 1136 Courtney Chase Circle, Apt 711, Orlando, FL 32837 | 2015-07-14 |
| 1306242771 | Robin Mcdonough | Counselor | 11020 Regency Commons Ct, Orlando, FL 32837 | 2014-11-13 |
| 1952720484 | Monisha Louis | Physical Therapist | 4445 Gywndale Ct., Orlando, FL 32837 | 2014-04-11 |
| 1194141028 | Florida Em-i Medical Services, Pa | Physician Assistant | 12100 South John Young Parkway, Orlando, FL 32837 | 2014-03-17 |
| 1366871394 | Isse Song Pa | Dentist | 12554 S John Young Parkway, 104, Orlando Florida, FL 32837 | 2013-11-12 |
| Find all providers in zip 32837 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770054843 | Cynthia Marie Mills | Physician Assistant | 7806 Lake Underhill Rd Ste 104, Orlando, FL 32822-8232 | 2018-12-16 |
| 1447751029 | Brittney Marie Osterhoudt | Physician Assistant | 2014 S Orange Ave Ste 101, Orlando, FL 32806-3069 | 2018-02-28 |
| 1164934006 | Stephanie Carmen Oberweger | Physician Assistant | 8124 Chianti Dr, Orlando, FL 32836-5311 | 2017-11-01 |
| 1881046407 | Chrystal Danielle Fravel | Physician Assistant | 2609 S Orange Ave, Orlando, FL 32806-4547 | 2016-07-07 |
| 1922498740 | Taylor Stetson | Physician Assistant | 7403 Sugar Bend Dr, Orlando, FL 32819-7215 | 2015-02-01 |
| 1619370103 | Emily R Avgeropoulos | Physician Assistant | 7512 Dr Phillips Blvd Ste 50-209, Orlando, FL 32819-5420 | 2014-09-29 |
| 1417357567 | Allyson Lee | Physician Assistant | 3090 Caruso Ct, Orlando, FL 32806-8510 | 2014-08-26 |
| 1386052371 | Nancy Callaham | Physician Assistant | 6953 Cadiz Blvd, Orlando, FL 32819-4713 | 2014-07-23 |
| 1922367010 | Quality Care Providers | Physician Assistant | 5565 Cinderlane Pkwy, 291, Orlando, FL 32808-4705 | 2012-05-09 |
| 1013212067 | Rheumatology Associates of Central Fl. | Physician Assistant | 3160 Southgate Commerce Blvd Bldg Suite30, Orlando, FL 32806-8549 | 2011-01-24 |
| Find all providers in ORLANDO | ||||
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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.