Edger Verdan Potter Jr. (NPI# 1881623320, PAC ID# 9335215193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1881623320 |
| PAC ID by PECOS | 9335215193 |
| Professional Enrollment ID | I20080903000245 |
| Full Name | Edger Verdan Potter Jr. |
| Organization Legal Name | FIVE STAR PHYSICIAN SERVICES LLC |
| Address |
7420 Marlboro Pike Forestville MD 20747-4343 |
| Phone Number | 4106548602 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | RHEUMATOLOGY |
| Group Practice PAC ID | 3779572862 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210062 | MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7420 Marlboro Pike, Forestville, MD 20747-4343 | 4106548602 | FIVE STAR PHYSICIAN SERVICES LLC |
| Organization Legal Name | FIVE STAR PHYSICIAN SERVICES LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natasha L Loving | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Deborah A Stein | Internal Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Usha V Gollapalli | Internal Medicine | Five Star Physician Services LLC | 9106 Pine View Ln, Clinton, MD 20735-3229 |
| Emmanuel N Enokpa | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Neka D Anyaogu | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Kathy Davis | Nurse Practitioner | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Elena V Iarikova | Hospitalist | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Javier Quant-gonzalez | Internal Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Tasneem Lakhani | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Harold Bob | Family Medicine | Five Star Physician Services LLC | 9715 Healthway Dr, Berlin, MD 21811-3500 |
| Street Address |
7420 MARLBORO PIKE |
| City | FORESTVILLE |
| State | MD |
| Zip | 20747-4343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Stein | Internal Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Boris A Frolov | Nuclear Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Felix Dipinto | Internal Medicine | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Titilayo O Orimogunje | Nurse Practitioner | Five Star Physician Services LLC | 7420 Marlboro Pike, Forestville, MD 20747-4343 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Anderson | Physical Therapy | 5924 Marlboro Pike, District Heights, MD 20747-1142 | |
| Adviti Jayesh Shah | Physical Therapy | Ati Holdings LLC | 2950 Donnell Dr, Suite G, Forestville, MD 20747-3277 |
| Ryan P Shumate | Physical Therapy | Ati Holdings LLC | 2950 Donnell Dr, Suite G, Forestville, MD 20747-3277 |
| Yashesh Goradia | Physical Therapy | Ati Holdings LLC | 2950 Donnell Dr, Suite G, Forestville, MD 20747-3277 |
| Dreka Denise Williams | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Queena Singh | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Bruce Goodman | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Jennifer Candelaria Lee | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Mashael Namaeh | Optometry | Goodman Eyecare Center, LLC | 3309 Forestville Pl, Forestville, MD 20747-4409 |
| Ibrahim I.m. Salih | Family Medicine | 7610 Pennsylvania Ave, Suite 200, District Heights, MD 20747-4701 | |
| Find all physicians in zip 20747 | |||
| City | FORESTVILLE |
| Zip Code | 20747 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FORESTVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Edger Verdan Potter Jr..
| 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.