KAREN POTACZEK (NPI# 1700089513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700089513 |
| Entity Type | Individual |
| Full Name | KAREN POTACZEK |
| Credential | DDS |
| Practice Address |
116 E 11th St Suite 201 Spencer IA 51301-4393 |
| Practice Telephone | 7122627350 |
| Practice Fax Number | 7122627351 |
| Mailing Telephone | 7122627350 |
| Mailing Fax Number | 7122627351 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2014-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
08697 | IA | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 08697 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1700089513 | 05 | |
| IA | 1700089513 | 05 |
| Street Address |
116 E 11TH ST SUITE 201 |
| City | SPENCER |
| State | IA |
| Zip Code | 51301-4393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598760605 | John Benjamin Synhorst II | Dentist | 116 E 11th St, Ste 201, Spencer, IA 51301-4363 | 2005-06-15 |
| 1467821116 | Briana Wetrich | Physician Assistant | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2015-09-23 |
| 1780062273 | Spencer Municipal Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| 1720401961 | Megan Vanotterloo | Nurse Practitioner | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2014-01-23 |
| 1225468812 | Karen Potaczek, D.d.s., P.C. | Oral & Maxillofacial Surgery | 116 E 11th St, Suite 201, Spencer, IA 51301-4393 | 2013-11-18 |
| 1386938926 | Hilary L Kerrick | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2011-05-31 |
| 1144534702 | Avera Home Medical Equipment of Spencer Hospital LLC | Durable Medical Equipment & Medical Supplies | 116 E 11th St, Suite 104, Spencer, IA 51301-4300 | 2010-08-05 |
| 1669793808 | David Stephen Keith | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2010-06-22 |
| 1124344833 | Travis J. Witt | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4300 | 2010-04-20 |
| 1003046939 | Kathi Kae Heckert | Nurse Practitioner | 116 E 11th St, Ste 101, Spencer, IA 51301-4300 | 2009-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508331877 | Angie Marie Wigen | Occupational Therapy Assistant | 1202 11 Th Ave Se, Spencer, IA 51301 | 2018-10-12 |
| 1184040511 | Leisha Fischer | Nurse Practitioner | 116 East 7th Street, Suite 2, Spencer, IA 51301 | 2014-03-10 |
| 1427482199 | Mark Alan De Ruyter | Social Worker | 116 E. 11th St., Spencer, IA 51301 | 2013-08-29 |
| 1467894873 | Daniel Wesley Abbott | Pathology | 116 E 11th St Ste 204, Spencer, IA 51301 | 2013-07-26 |
| 1730437542 | Spencer Convenient Healthcare LLC | Clinic/Center | 116 E. 7th Street, Suite 2, Spencer, IA 51301 | 2012-08-28 |
| 1114065109 | David W Lawrence | Audiologist-Hearing Aid Fitter | 920 North Grand Ave., Spencer, IA 51301 | 2007-02-02 |
| 1548328925 | Burns Chiropractic Center P C | Chiropractor | 1210 West 18th St, Spencer, IA 51301 | 2006-12-05 |
| 1073692661 | Gary Vanhofwegen | Dentist | 18 West 4th St, Spencer, IA 51301 | 2006-11-03 |
| 1952494114 | Medicap Pharmacy | Pharmacy | 829 Grand Ave N, Spencer, IA 51301 | 2006-10-02 |
| 1326131012 | Douglas J Schwartz | Chiropractor | 1204 West 18th St, Spencer, IA 51301 | 2006-10-02 |
| Find all providers in zip 51301 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225468812 | Karen Potaczek, D.d.s., P.C. | Oral & Maxillofacial Surgery | 116 E 11th St, Suite 201, Spencer, IA 51301-4393 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588637177 | David Allen Anderson | Oral & Maxillofacial Surgery | 2305 E 52nd St, Suite 1, Davenport, IA 52807-2762 | 2006-02-13 |
| 1356527477 | Plastic Surgery Center, P.C. | Oral & Maxillofacial Surgery | 3385 Dexter Ct, Suite 115, Davenport, IA 52807-3471 | 2008-01-18 |
| 1942282553 | Robert A Rudman | Oral & Maxillofacial Surgery | 1212 Duff Ave, Ames, IA 50010-5467 | 2005-11-18 |
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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.