JAMES G POTTER (NPI# 1669470845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669470845 |
| Entity Type | Individual |
| Full Name | JAMES G POTTER |
| Credential | PA-C |
| Practice Address |
3500 Tower Avenue Superior WI 54880-5335 |
| Mailing Address |
Essentia Health Duluth Clinic Mcl2cred 400 East Third Street Duluth MN 55805-1951 |
| Practice Telephone | 7158177100 |
| Mailing Telephone | 2187861183 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3621-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 42908100 | 05 | |
| PREFERREDONE | 1018475 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285758623 | James Potter | Social Worker | 523 Ridgebury Rd, Slate Hill, NY 10973-4310 | 2007-03-19 |
| 1730285669 | James H Potter | Counselor | 8424 Fm 350 N, Livingston, TX 77351-6503 | 2006-09-16 |
| 1902850290 | James Patrick Potter | Obstetrics & Gynecology | 12497 Barony Dr, Dubuque, IA 52001-9619 | 2006-05-20 |
| 1245704345 | James Potter | Counselor | 411 Court St, Portsmouth, OH 45662-3932 | 2019-01-11 |
| 1467920421 | James Potter | Specialist/Technologist | 263 Alden St, Springfield, MA 01109-3788 | 2018-11-07 |
| 1053827055 | James J. Potter | Behavior Technician | 3180 Imjin Rd Ste 149, Marina, CA 93933-5111 | 2017-12-28 |
| 1861855918 | James Potter | Counselor | 3248 Vandever Ave, Pekin, IL 61554-6257 | 2016-04-05 |
| 1477942159 | James Lamoyne Potter | Anesthesiology | 6606 Lyndon B Johnson Fwy Ste 200, Dallas, TX 75240-6524 | 2015-01-17 |
| 1437286853 | James Thomas Potter Jr. | Pediatrics | 338 Coeburn Ave Sw, Norton, VA 24273-2606 | 2007-02-27 |
| 1821001785 | James S Potter | Optometrist | 419 North Harrison Street, Suite 104, Princeton, NJ 08540 | 2006-08-14 |
| Street Address |
3500 TOWER AVENUE |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356737555 | Chizoba Nicole Okechukwu | Family Medicine | 3500 Tower Avenue, Superior, WI 54880-5335 | 2015-04-14 |
| 1104230408 | Michael John Sterns | Family Medicine | 3500 Tower Avenue, Eh St Mary's Superior Clinic, Superior, WI 54880-5335 | 2014-06-13 |
| 1790104321 | Gretchen Marie Adams | Emergency Medicine | 3500 Tower Avenue, Eh St Mary's Superior Clinic, Superior, WI 54880-5335 | 2014-04-10 |
| 1174732952 | Stephen M Bockhold | Family Medicine | 3500 Tower Avenue, St. Mary's Hospital of Superior, Superior, WA 54880 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023129996 | Blaine S. Jensen | Physician Assistant | 1134 W Hwy 60, Superior, AZ 85273-2647 | 2006-08-31 |
| 1629401856 | Amy Marie Laflamme | Physician Assistant | 3500 Tower Ave, Superior, WI 54880-5335 | 2013-08-12 |
| 1740539568 | Sarah Elizabeth Johnson | Physician Assistant | 3500 Tower Ave, Essentia Health St. Mary's Hospital-superior, Superior, WI 54880-5335 | 2012-09-07 |
| 1114225174 | Sarah Lynn Karl | Physician Assistant | 3500 Tower Ave, Essentia Health St. Mary's Superior Clinic, Superior, WI 54880-5335 | 2011-03-01 |
| 1245552140 | Matthew Gatlin | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2010-02-18 |
| 1568619682 | Adam M Wennersten | Physician Assistant | 3600 Tower Ave, Superior, WI 54880 | 2008-08-20 |
| 1174690853 | Jay Michael Ferguson | Physician Assistant | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-11-29 |
| 1831290683 | Karyn Thornton | Physician Assistant | 1208 6th Ave, Superior, MT 59872-9618 | 2006-09-26 |
| 1790736981 | Anna Charlotte Greiner | Physician Assistant | 109 N 28th St E, Superior, WI 54880 | 2006-05-13 |
| 1073590626 | Brodstone Memorial Hospital | Physician Assistant | 525 E 11th St, Superior, NE 68978-1101 | 2005-12-26 |
| Find all providers in SUPERIOR | ||||
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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.