Organization Active NPI

Potential Medical Service

  • Electroneurodiagnostic Specialist/Technologist
  • Rockwall, TX
National Provider Identifier
1083636070
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
POTENTIAL MEDICAL SERVICE
Practice address
2255 Ridge Rd
Ste 303
Rockwall, TX 75087-5155
Phone
(469) 698-8500
Fax
(469) 698-8504
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Veronica D Sanders
Title
Business Office Manager
Phone
(469) 698-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

2255 Ridge Rd
Ste 303
Rockwall, TX 75087-5155

Mailing address

2255 Ridge Rd
Ste 303
Rockwall, TX 75087-5155
Phone (469) 698-8500

National Provider Directory

National Provider Directory
Tax ID family
Potential Medical Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083636070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 RIDGE RD",
            "address_2": "STE 303",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875155",
            "telephone_number": "469-698-8500",
            "fax_number": "469-698-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 RIDGE RD",
            "address_2": "STE 303",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875155",
            "telephone_number": "469-698-8500",
            "fax_number": "469-698-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "469-698-8500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.