MR. LEE RICHARD POTRATZ


Address: 1300 Anne St Nw, Bemidji, MN 56601-5103
Phone: 2187519746

MR. LEE RICHARD POTRATZ (NPI# 1891787131) 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) 1891787131
Entity Type Individual
Full Name MR. LEE RICHARD POTRATZ
Credential PA-C, ATC
Practice Address 1300 Anne St Nw
Bemidji
MN 56601-5103
Mailing Address 1233 34th St Nw
Bemidji
MN 56601-5112
Practice Telephone 2187519746
Mailing Telephone 2183335171
Enumeration Date 2005-08-22
Last Update Date 2019-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
1402 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 363A00000X Physician Assistant 10848 MN Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
10848 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1300 ANNE ST NW
City BEMIDJI
State MN
Zip Code 56601-5103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922090901 Marvin R Fetter Orthopaedic Surgery 1300 Anne St Nw, Bemidji, MN 56601-5103 2005-08-17
1679129555 Ashley Marie Wavrin Nurse Practitioner 1300 Anne St Nw, Bemidji, MN 56601-5103 2019-08-15
1649824996 Angela Halvorson Nurse Practitioner 1300 Anne St Nw, Bemidji, MN 56601-5103 2019-07-25
1114589348 Rachel Marie Vesta Nurse Practitioner 1300 Anne St Nw, Bemidji, MN 56601-5103 2019-07-09
1407419419 Ethan Axtman Nurse Practitioner 1300 Anne St Nw, Bemidji, MN 56601-5103 2019-04-16
1053895201 Jarad Syrstad Physical Therapist 1300 Anne St Nw, Bemidji, MN 56601-5103 2018-09-23
1851874416 Kimberly Miller Physician Assistant 1300 Anne St Nw, Bemidji, MN 56601-5103 2018-09-10
1780175752 Billie Jo Dressing Registered Nurse 1300 Anne St Nw, Bemidji, MN 56601-5103 2018-05-24
1386142818 Andrea May Lucca Social Worker 1300 Anne St Nw, Bemidji, MN 56601-5103 2018-01-30
1356859979 Andrew William Rook Registered Nurse 1300 Anne St Nw, Bemidji, MN 56601-5103 2018-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772425 Northern Minnesota Addiction Wellness Center Substance Abuse Rehabilitation Facility 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 2020-02-17
1366093841 Vickie Lynn Matthews Technician 1018 Miles Ave Se, Bemidji, MN 56601 2019-09-25
1518443530 Lindsey Marie Whiting Registered Nurse 1300 Anne St, Bemidji, MN 56601 2018-07-12
1801257662 Meghan Zigrida Paquette Registered Nurse 6055 161st Street Nw, Cass Lake, MN 56601 2016-03-08
1144686106 Northwest Indian Oic Home Health 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 2016-01-06
1831560424 Laura Hansen, Msw, Licsw Counseling Services, Inc. Social Worker 403 4th Street Ne, Suite 110, Bemidji, MN 56601 2015-10-08
1679949028 Grand St. Paul Cvs LLC Durable Medical Equipment & Medical Supplies 2312 Bemidji Ave North, Bemidji, MN 56601 2015-08-19
1255717617 Mary S. Salter, Md Psc Internal Medicine 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 2015-08-07
1225420615 Cristin Evans Counselor 403 4th Street, Suite 300, Bemidji, MN 56601 2015-02-23
1619367919 Angela Krom Fournier Psychologist 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 2015-01-26
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801942750 Darren D Pagnac Physician Assistant 3807 Greenleaf Ave Nw, Bemidji, MN 56601-5817 2007-01-25
1770639635 Annetta M Shaw Physician Assistant 3807 Greenleaf Ave Nw, Bemidji, MN 56601-5817 2007-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194120204 Nathan C Clapper Physician Assistant 3580 Arcade St Ste 100, Vadnais Heights, MN 55127-7135 2014-10-31
1003180555 Elizabeth K Saterenzoller Physician Assistant 1015 Marsh Street, Mankato, MN 56002-8673 2012-03-01
1477824472 Andrea Jo Pitzl Physician Assistant 3208 36th Ave Ne, St Anthony, MN 55418-1713 2012-01-23
1447560693 Jeanine Marie Edstrom Physician Assistant 1185 Town Centre Dr Ste 200, Eagan, MN 55123-1343 2010-10-20
1841504792 Michelle R Aumock Physician Assistant 8100 W 78th Street, Ste 230, Edina, MN 55439 2010-08-03
1194042390 Gerald Frederick Anderson Physician Assistant 4060 Haines Rd, #104, Duluth, MN 55811-1746 2010-04-27
1558683904 Oswaldo Serge Physician Assistant 4036 3rd St Nw, Rochester, MN 55901-7564 2010-02-25
1417288945 Amanda Kay Johnson Physician Assistant 201 W Center St Ei-01 Surgical Assistant, Rochester, MN 55902-3003 2010-01-22
1790922755 Jenelle Cecilia Rock Physician Assistant 1950 Northwestern Ave S, Suite 102, Stillwater, MN 55082-7590 2009-01-13
1174775514 Nathan J Nistler Physician Assistant 3580 Arcade Stq, Vadnais Heights, MN 55127-7135 2008-10-16
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Competitor

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City BEMIDJI
Zip Code 56601

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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