MR. SAMUEL E. POTTS


Address: 2 Memorial Dr, Suite 201, Decatur, IL 62526-3950
Phone: 2178756980

MR. SAMUEL E. POTTS (NPI# 1326058447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326058447
Entity Type Individual
Full Name MR. SAMUEL E. POTTS
Credential D.P.M.
Practice Address 2 Memorial Dr
Suite 201
Decatur
IL 62526-3950
Mailing Address 2 Memorial Drive
Suite 201
Decatur
IL 62526
Practice Telephone 2178756980
Practice Fax Number 2178757710
Mailing Telephone 2174287721
Enumeration Date 2006-08-09
Last Update Date 2014-11-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 016004684 IL Podiatric Medicine & Surgery Service Providers
N 213ER0200X Podiatrist
Specialization: Radiology
016004684 IL Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
016004684 IL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PALMETTA GBA-RR MEDICARE 480014432 01
HEALTHLINK 230121 01
IL BLUE CROSS BLUE SHIELD 5805819 01

Office Location

Street Address 2 MEMORIAL DR
SUITE 201
City DECATUR
State IL
Zip Code 62526-3950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346399391 Anderson and Odunsi, Md LLC Nurse Practitioner 2 Memorial Dr, Suite 305, Decatur, IL 62526-3950 2007-01-09
1508915570 Joyce Heath Nurse Practitioner 2 Memorial Dr, Suite 305, Decatur, IL 62526-3950 2007-01-09
1962469734 Robert R Kraus Jr. Neurological Surgery 2 Memorial Dr, Ste 207, Decatur, IL 62526-3950 2006-04-27
1306802608 Decatur Digestive Disease Center LLC Nurse Anesthetist, Certified Registered 2 Memorial Dr, Suite 102 Pysician Plaza West, Decatur, IL 62526-3950 2006-04-25
1205892478 Howard Earl Beede Allergy & Immunology 2 Memorial Dr, Suite 204, Decatur, IL 62526-3950 2006-04-25
1508822701 Oliver N Dold Neurological Surgery 2 Memorial Dr, Ste 207, Decatur, IL 62526-3950 2006-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
Find all providers in zip 62526

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427696392 Trent Lott Podiatrist 3045 Brook Dr, Decatur, GA 30033-3937 2019-12-11
1801352190 Zachary Adam Rohr Podiatrist 2314 Emerald Springs Dr, Decatur, GA 30035-2632 2019-02-12
1083876304 Greenbriar Foot & Ankle Center LLC Podiatrist 4480 Covington Highway, Suite A, Decatur, GA 30034 2008-06-27
1447326442 Joseph R Dupper Podiatrist 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 2006-11-28
1811916497 Howard M Bryant Podiatrist 2575 Snapfinger Rd Ste D, Decatur, GA 30034-2300 2006-07-18
1003846718 Suzette Andrean Clements Podiatrist 4535 Flat Shoals Pkwy, Suite # 301, Decatur, GA 30034-5039 2006-07-05
1538103403 Jonathan Mark Smith Podiatrist 145 S 2nd St, Decatur, IN 46733-1664 2006-06-15
1427014034 Craig Allen Murad Podiatrist 1481 Oakridge Cir, Decatur, GA 30033-2137 2006-04-22
1598230690 Nickil Nayee Podiatrist 1670 Clairmont Rd, Decatur, GA 30033-4004 2018-10-04
1417458357 Karen Moon Podiatrist 2701 N Decatur Rd, Decatur, GA 30033-5918 2018-02-26
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 62526

Improve Information

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Dataset Information

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.

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