RENEE M POTERA (NPI# 1477743276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477743276 |
| Entity Type | Individual |
| Full Name | RENEE M POTERA |
| Credential | M.D. |
| Practice Address |
5353 Harry Hines Blvd Dallas TX 75390-7201 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2144567000 |
| Practice Fax Number | 2144568132 |
| Mailing Telephone | 2144567000 |
| Mailing Fax Number | 2144568132 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
P7541 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
2010005085 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
5353 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693687 | Eron S Linver | Pediatrics | 5353 Harry Hines Blvd, Dallas, TX 75390-7208 | 2005-07-14 |
| 1629259577 | Helena Hwang | Pathology | 5353 Harry Hines Blvd, Dallas, TX 75390-7208 | 2007-11-20 |
| 1245421106 | Gregory Paul King Jr. | Radiology | 5353 Harry Hines Blvd, Dallas, TX 75390-7208 | 2007-08-06 |
| 1023198454 | Leticia Castillo | Pediatrics | 5353 Harry Hines Blvd, Mc9063, Dallas, TX 75390-7208 | 2006-10-17 |
| 1598799884 | Allen Hendricks | Pathology | 5353 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962442087 | Jeffrey J. Fanning | Pediatrics | 7777 Forest Ln Ste D569, Dallas, TX 75230-6903 | 2006-06-07 |
| 1447235684 | Andrew Scott Gelfand | Pediatrics | 7777 Forest Ln Ste B309, Dallas, TX 75230-2540 | 2005-12-09 |
| 1255954129 | Hannah Lee Vinh | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2020-05-26 |
| 1740824796 | Kaitlin Hukill | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-11-03 |
| 1124556501 | Markie A Campfield | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235 | 2017-05-30 |
| 1578970307 | Pediatric Perioperative Consultants of N. Tx., Pllc | Pediatrics | 7777 Forest Ln Ste D569, Dallas, TX 75230-6903 | 2014-07-14 |
| 1649685215 | Abdelaziz Farhat | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-0001 | 2014-06-23 |
| 1255652079 | Raeley Rinderknecht Guess | Pediatrics | 7777 Forest Ln, D569, Dallas, TX 75230-2571 | 2010-06-16 |
| 1881911196 | Ali Bv Mcmichael | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2010-04-26 |
| 1457500381 | Margaret Schwarz | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2008-09-16 |
| Find all providers in DALLAS | ||||
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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.