Timothy J Potter (NPI# 1740242312, PAC ID# 2062305337) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
Nation Provider ID (NPI) | 1740242312 |
PAC ID by PECOS | 2062305337 |
Professional Enrollment ID | I20040203000097 |
Full Name | Timothy J Potter |
Organization Legal Name | MINNESOTA GASTROENTEROLOGY PA |
Address |
15700 37th Ave N Suite 300 Clinic Plymouth MN 55446-3661 |
Phone Number | 6128711145 |
Gender | M |
Credential | MD |
Medical School | CREIGHTON UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1980 |
Primary Specialty | GASTROENTEROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 8123016557 |
Number of Group Practice Members | 95 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240038 | UNITED HOSPITAL |
240210 | HEALTHEAST ST JOHN'S HOSPITAL |
Address | Phone | Organization |
---|---|---|
15700 37th Ave N, Suite 300 Clinic, Plymouth, MN 55446-3661 | 6128711145 | MINNESOTA GASTROENTEROLOGY PA |
15700 37th Ave N, Plymouth, MN 55446-3661 | 6128711145 | MINNESOTA GASTROENTEROLOGY PA |
Organization Legal Name | MINNESOTA GASTROENTEROLOGY PA |
Physicians | 166 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin M Rank | Gastroenterology | Minnesota Gastroenterology Pa | 237 Radio Dr, Suite 210, Woodbury, MN 55125-5805 |
Erica N Roberson | Gastroenterology | Minnesota Gastroenterology Pa | 1973 Sloan Pl, Suite 100, Saint Paul, MN 55117-2085 |
Yan G Bakman | Gastroenterology | Minnesota Gastroenterology Pa | 9145 Springbrook Nwdr, Suite 200, Coon Rapids, MN 55433-5885 |
Gina Storrs | Nurse Practitioner | Minnesota Gastroenterology Pa | 9145 Springbrook Dr Nw, Suite 301, Coon Rapids, MN 55433-5885 |
Kent R Pickrell | Certified Registered Nurse Anesthetist (crna) | Minnesota Gastroenterology Pa | 3001 Broadway St Ne, Suite 500, Minneapolis, MN 55413-2197 |
Panagiotis H Panagiotakis | Gastroenterology | Minnesota Gastroenterology Pa | 5705 W Old Shakopee Rd, Suite 150, Bloomington, MN 55437-3107 |
Michelle S Kennedy | Gastroenterology | Minnesota Gastroenterology Pa | 1185 Town Centre Dr, Suite 200, Eagan, MN 55123-1343 |
Heather N Miller | Physician Assistant | Minnesota Gastroenterology Pa | 800 28th St E, Hospital, Minneapolis, MN 55407-3723 |
Kathryn Kempe O'morchoe | Physician Assistant | Minnesota Gastroenterology Pa | 1575 Beam Ave, Maplewood, MN 55109-1126 |
Zongyu J Chen | Gastroenterology | Minnesota Gastroenterology Pa | 1973 Sloan Pl, Suite 100, Saint Paul, MN 55117-2085 |
Street Address |
15700 37TH AVE N SUITE 300 CLINIC |
City | PLYMOUTH |
State | MN |
Zip | 55446-3661 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ralph S Shapiro | Allergy/immunology | Midwest Immunology Clinic, Pa | 15700 37th Ave N, Suite 110, Plymouth, MN 55446-3399 |
Daniel M Van Handel | Gastroenterology | Minnesota Gastroenterology Pa | 15700 37th Ave N, Plymouth, MN 55446-3399 |
Polly A Nesset | Nurse Practitioner | Minnesota Gastroenterology Pa | 15700 37th Ave N, Suite 300 Clinic, Plymouth, MN 55446-3661 |
Birtukan Cinnor | Gastroenterology | Minnesota Gastroenterology Pa | 15700 37th Ave N, Plymouth, MN 55446-3399 |
David G Perdue | Gastroenterology | Minnesota Gastroenterology Pa | 15700 37th Ave N, Suite 300 Clinic, Plymouth, MN 55446-3661 |
Sara L Holsather | Physician Assistant | Minnesota Gastroenterology Pa | 15700 37th Ave N, Suite 300 Clinic, Plymouth, MN 55446-3661 |
Jose Antonio Vega Peralta | Gastroenterology | Minnesota Gastroenterology Pa | 15700 37th Ave N, Suite 300 Clinic, Plymouth, MN 55446-3661 |
Kristin B Epland | Nurse Practitioner | Midwest Immunology Clinic, Pa | 15700 37th Ave N, Suite 110, Plymouth, MN 55446-3399 |
Benjamin L Mitlyng | Gastroenterology | Minnesota Gastroenterology Pa | 15700 37th Ave N, Suite 300 Clinic, Plymouth, MN 55446-3661 |
Robert P Mccabe | Gastroenterology | Minnesota Gastroenterology Pa | 15700 37th Ave N, Suite 300 Clinic, Plymouth, MN 55446-3661 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Briona Klinsky | Nurse Practitioner | Minuteclinic Diagnostic Pa | 4140 County Rd 101, Plymouth, MN 55446 |
Jennifer R Christensen | Certified Nurse Midwife | Centracare Health System - Long Prairie | 815 Hwy 71 S, Eagle Bend, MN 55446 |
Julie L Sumstad | Nurse Practitioner | Park Nicollet Clinic | 4155 County Rd 101, Plymouth, MN 55446-2307 |
Kristin L Spencer | Nurse Practitioner | Park Nicollet Clinic | 4155 County Rd 101, Plymouth, MN 55446-2307 |
Jonathan R Ray | Family Medicine | Park Nicollet Clinic | 4155 County Rd 101, Plymouth, MN 55446-2307 |
Paula A Deakins | Family Medicine | Park Nicollet Clinic | 4155 County Rd 101, Plymouth, MN 55446-2307 |
Joel C Demaris | Physical Therapy | Park Nicollet Clinic | 4155 County Rd 101, Plymouth, MN 55446-2307 |
Jason P Raasch | Pediatric Medicine | Midwest Immunology Clinic, Pa | 15700 37th Ave N, Suite 110, Plymouth, MN 55446-3399 |
Nissa I Erickson | Pediatric Medicine | Minnesota Gastroenterology Pa | 15700 37th Ave N, Plymouth, MN 55446-3399 |
David S Feldshon | Gastroenterology | Minnesota Gastroenterology Pa | 15700 37th Ave N, Plymouth, MN 55446-3399 |
Find all physicians in zip 55446 |
City | PLYMOUTH |
Zip Code | 55446 |
Specialty | GASTROENTEROLOGY |
City + Specialty | PLYMOUTH + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Timothy J Potter.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.