THERESA L POTTER (NPI# 1912557901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912557901 |
| Entity Type | Individual |
| Full Name | THERESA L POTTER |
| Other Name | THERESA L SCHOLZ |
| Credential | RSA |
| Practice Address |
929 W Higgins Rd Schaumburg IL 60195-3203 |
| Practice Telephone | 8472854200 |
| Practice Fax Number | 8478850131 |
| Mailing Telephone | 8472854200 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
238.000658 | IL | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215075700 | Theresa Potter | Social Worker | 7202 North Shadeland Avenue, Suite 127, Indianapolis, IN 46250 | 2007-02-05 |
| 1720628837 | Theresa L Potter | Specialist/Technologist, Other | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2020-01-07 |
| Street Address |
929 W HIGGINS RD |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60195-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669463022 | Raymond T O'hara | Podiatrist | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2005-11-03 |
| 1740803410 | Fadi Rim | Physical Therapist | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2020-05-28 |
| 1285257881 | Alisa Bruzzini | Specialist/Technologist | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2020-05-19 |
| 1467084038 | Jason J Maslana | Nurse Practitioner | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2020-02-11 |
| 1679113138 | Ryan Michael Dooley | Physical Therapist | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2020-01-13 |
| 1720628837 | Theresa L Potter | Specialist/Technologist, Other | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2020-01-07 |
| 1245878974 | Tess Eileen Riley | Physical Therapy Assistant | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2019-12-12 |
| 1053969774 | Alexandra Kowalewski | Physical Therapy Assistant | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2019-08-27 |
| 1093272346 | Olesya Anna Gulyk | Occupational Therapist | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2019-02-22 |
| 1710487848 | Danielle Marie Wagner | Specialist/Technologist | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2018-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730606542 | Alexis V Anderson | Physical Therapist | 929 West Higgins Road, Schaumburg, IL 60195 | 2017-08-23 |
| 1710426796 | Wellness Institute of Illinois, Ltd | Non-Pharmacy Dispensing Site | 110 Hillcrest Blvd Suite 102, Schaumburg, IL 60195 | 2017-02-23 |
| 1891233318 | Malek Korkis | Dentist | 501 W Golf Rd Ste B, Schaumburg, IL 60195 | 2017-02-03 |
| 1841530334 | Yuhang Shek Md Sc | Clinic/Center | 110 Hillcrest Blvd, Suite 107, Schaumburg, IL 60195 | 2013-02-21 |
| 1730479841 | Karen Ednalino Smith | Physical Therapist | 929 West Higgins Road, Barrington Orthopedic Specialists, Ltd., Schaumburg, IL 60195 | 2011-04-10 |
| 1790089456 | Vishva Manmathdev Desai | Chiropractor | 80 West Hillcrest Blvd, Suite 208, Schaumburg, IL 60195 | 2011-01-10 |
| 1003119611 | Michael T Green | Dentist | 1900 N. Roselle Rd, #401, Schaumburg, IL 60195 | 2010-12-21 |
| 1346574381 | Kenneth Craig Chessick | Surgery | 1870 N. Roselle Road, Suite 104, Schaumburg, IL 60195 | 2009-09-23 |
| 1750413019 | Medcoa Physical Therapy | Physical Therapist | 1083 N Selem Dr, Schaumburg, IL 60195 | 2007-03-12 |
| 1164564019 | Jeffrey B Johnson | Specialist | 1555 N Barrington Road #410, Hoffman Estates, IL 60195 | 2007-02-13 |
| Find all providers in zip 60195 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628837 | Theresa L Potter | Specialist/Technologist, Other | 929 W Higgins Rd, Schaumburg, IL 60195-3203 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072288 | Jaime Viramontes Jr. | Specialist/Technologist, Other | 2725 Technology Dr, Lombard, IL 60148-5675 | 2020-08-06 |
| 1215545660 | Ghirri Health Care Inc | Specialist/Technologist, Other | 9101 Falcon Ridge Dr, Bridgeview, IL 60455-2608 | 2020-07-21 |
| 1649896606 | Eric Dupaya | Specialist/Technologist, Other | 6432 S Eberhart Ave, Chicago, IL 60637-3325 | 2020-06-24 |
| 1508482027 | Juan Carlos Diaz | Specialist/Technologist, Other | 1433 W Flournoy St Apt 3f, Chicago, IL 60607-3213 | 2020-06-20 |
| 1528682275 | Alan George | Specialist/Technologist, Other | 606 N Van Auken St, Elmhurst, IL 60126-1947 | 2020-05-28 |
| 1881215416 | Brianne O'leary | Specialist/Technologist, Other | 2413 Sunrise Cir, Aurora, IL 60503-6757 | 2020-05-05 |
| 1669006433 | Michael Howard Keller | Specialist/Technologist, Other | 414 Chapel St, Marengo, IL 60152-3016 | 2020-03-02 |
| 1205487543 | Muneif Abusaleh | Specialist/Technologist, Other | 10536 Forest Ln, Chicago Ridge, IL 60415-1820 | 2019-09-27 |
| 1831752773 | Bienvenido Camacho | Specialist/Technologist, Other | 7900 W Deerwood Dr, Palos Park, IL 60464-2155 | 2019-04-16 |
| 1992278196 | Deangela Roberson | Specialist/Technologist, Other | 1212 N. Lasalle, Ste 100/ Surgery Center, Chicago, IL 60610 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | SCHAUMBURG |
| Zip Code | 60195 |
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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.