James L Poth Jr., MD

Primary specialty

Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X

License

G142100 Issued in CA

Practice address

419 Carbonera Dr
Santa Cruz, CA 95060-1608

Phone

(831) 426-0607

Fax

(831) 427-1525

NPI assigned

Aug 1, 2006

Last updated

Dec 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Elite Physical Therapy & Wellness Center, LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1871647024
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1053328575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 CARBONERA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601608",
            "telephone_number": "831-426-0607",
            "fax_number": "831-427-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 CARBONERA DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601608",
            "telephone_number": "831-426-0607",
            "fax_number": "831-427-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTH",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "G142100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Ryan Porter, L.AC., M.T.C.M.
• Brent Joseph Porter, D.D.S., M.S.
• Elaine Portzel, CAADACA
• Danielle Positeri
• Casey Dean Post
• Benjamin N Potkin, M.D.
• Sarah Elizabeth Potoczny, MPT
• Sharon Frances Potteiger, LM
• Carter Lynne Potts, OTS
• Gregory George Pouls, D.C.

• Hematology (Internal Medicine) Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Hematology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.