Individual provider Active NPI

Sherry Patricia Pottgen, M.D.

  • Pediatrics Physician
  • Scottsdale, AZ
National Provider Identifier
1003084682
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
38003 Issued in AZ
Practice address
21807 N Scottsdale Rd
Scottsdale, AZ 85255-7439
Phone
(480) 425-8488
Fax
(480) 425-8498
NPI assigned
Feb 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 38003 AZ Primary

Addresses

Primary practice location

21807 N Scottsdale Rd
Scottsdale, AZ 85255-7439

Mailing address

10498 E Morning Star Dr
Scottsdale, AZ 85255-8658
Phone (480) 350-7853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38003AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Medical Partners, LLC Pediatrics Past Accepting new patients
North Scottsdale Pediatric Associates Pediatrics Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1003084682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10498 E MORNING STAR DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558658",
            "telephone_number": "480-350-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21807 N SCOTTSDALE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557439",
            "telephone_number": "480-425-8488",
            "fax_number": "480-425-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTGEN",
        "first_name": "SHERRY",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "38003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.