Kirk David Potter (NPI# 1003920877, PAC ID# 2163408717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1003920877 |
| PAC ID by PECOS | 2163408717 |
| Professional Enrollment ID | I20081212000697 |
| Full Name | Kirk David Potter |
| Organization Legal Name | POTTER PLASTIC AND RECONSTRUCTIVE SURGERY PA |
| Address |
2901 Canterbury Dr Hays KS 67601-2152 |
| Phone Number | 7853012250 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | GENERAL SURGERY, HAND SURGERY |
| Group Practice PAC ID | 9032423009 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170013 | HAYS MEDICAL CENTER |
| 171311 | ROOKS COUNTY HEALTH CENTER |
| 171367 | GOVE COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2901 Canterbury Dr, Hays, KS 67601-2152 | 7853012250 | POTTER PLASTIC AND RECONSTRUCTIVE SURGERY PA |
| Organization Legal Name | POTTER PLASTIC AND RECONSTRUCTIVE SURGERY PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana Jo Staley | Nurse Practitioner | Potter Plastic and Reconstructive Surgery Pa | 2901 Canterbury Dr, Hays, KS 67601-2152 |
| Street Address |
2901 CANTERBURY DR |
| City | HAYS |
| State | KS |
| Zip | 67601-2152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana Jo Staley | Nurse Practitioner | Potter Plastic and Reconstructive Surgery Pa | 2901 Canterbury Dr, Hays, KS 67601-2152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Brull | Diagnostic Radiology | Oroville Hospital | 3315 Thunderbird Dr, Hays, KS 67601-1401 |
| Relaford W Stuart | Chiropractic | 2919 Hall St, Hays, KS 67601-1818 | |
| June M Knittel | Qualified Audiologist | 2705 Vine St, Suite 3, Hays, KS 67601-1900 | |
| Robin Camille Hale | Chiropractic | 2705 Vine St, Suite 5, Hays, KS 67601-1900 | |
| Marlyn R Swayne | Chiropractic | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Kassidy Nicole Stecklein | Physical Therapy | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Jillian Marie Stecklein | Physical Therapy | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Mark R Melton | Chiropractic | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Kenneth J Koerner | Chiropractic | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Carly Alyssa Davis | Physical Therapy | Koerner Chiropractic Pa | 2707 Vine St, Suite 1, Hays, KS 67601-1907 |
| Find all physicians in zip 67601 | |||
| City | HAYS |
| Zip Code | 67601 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | HAYS + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on Kirk David 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.