DR. MARK BLAINE POTTER (NPI# 1992776884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992776884 |
| Entity Type | Individual |
| Full Name | DR. MARK BLAINE POTTER |
| Credential | D.O. |
| Practice Address |
1112 6th Ave Ste 200 Tacoma WA 98405 |
| Mailing Address |
104 Granburg Cir San Antonio TX 78218-3033 |
| Practice Telephone | 2532728664 |
| Practice Fax Number | 2536277880 |
| Mailing Telephone | 2108261308 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2018-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
OP60322613 | WA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
02002013A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760593255 | Mark E Potter | Pharmacy Technician | 22950 Schram Rd, Gretna, NE 68028-4888 | 2006-08-31 |
| 1760595938 | Mark C. Potter | Family Medicine | 722 W. Maxwell St., Chicago, IL 60612 | 2006-08-15 |
| 1689640955 | Mark K. Potter | Surgery | 1127 Pope St, Suite 106, Saint Helena, CA 94574-1280 | 2006-02-27 |
| 1235649427 | Mark A Potter | Social Worker | 700 Park Ave, Ironton, OH 45638-1502 | 2017-10-03 |
| 1386795896 | Mark Potter | Chiropractor | 366 Massachusetts Ave, Suite 103, Arlington, MA 02474-6733 | 2007-01-13 |
| Street Address |
1112 6TH AVE STE 200 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665682 | Yesenia Williams | Registered Nurse | 1112 6th Ave Ste 200, Tacoma, WA 98405-4048 | 2016-09-01 |
| 1295976165 | Tobie Halpin-higman | Physician Assistant | 1112 6th Ave Ste 200, Tacoma, WA 98405-4048 | 2009-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770833857 | Jonathan Alan Levant | Internal Medicine | 3201 Pacific Ave, Unit 1108, Tacoma, WA 98418-6907 | 2012-09-15 |
| 1780788794 | Kazunori Yamamoto | Internal Medicine | Veterans Affairs Hospital American Lake Campus, Veterans Drive, S.w., Tacoma, WA 98493-5000 | 2006-09-11 |
| 1144293127 | Charles S Donner | Internal Medicine | 2202 S Cedar St Ste 330, Tacoma, WA 98405-2318 | 2006-02-09 |
| 1710327762 | Jagpal Singh Klair | Internal Medicine | 2202 S Cedar St Ste 330, Tacoma, WA 98405-2318 | 2013-07-04 |
| 1750608329 | Maria Theresa S Kurtz | Internal Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-4504 | 2010-04-22 |
| 1548430424 | Digestive Health Specialists Arizona PC | Internal Medicine | 2202 S Cedar St, Suite 340, Tacoma, WA 98405-2318 | 2008-03-06 |
| 1558572651 | Jason Michael Sugar | Internal Medicine | 3209 S 23rd St, Ste 340, Tacoma, WA 98405-1602 | 2007-05-24 |
| 1174739957 | Michael H. Lee | Internal Medicine | 3209 S 23rd St, Suite 340, Tacoma, WA 98405-1602 | 2007-05-16 |
| 1801974076 | Steven Larson | Internal Medicine | 1112 6th Ave, Ste 200, Tacoma, WA 98405-4040 | 2006-11-02 |
| 1215015383 | Ioannis Papadopoulos | Internal Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2006-11-02 |
| Find all providers in TACOMA | ||||
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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.