Stephen J. Poteet, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35126347 Issued in OH

Practice address

112 Morey Dr
Marysville, OH 43040-1646

Phone

(937) 209-3100

Fax

(937) 795-3155

NPI assigned

Jan 4, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Plastic and Reconstructive Surgery

Education

University of Alabama School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mansfield Plastic Surgery, LLCGroup PAC ID 4486707932, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Marysville, OH, CCN 360092

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spoteet219575@direct.osumc.edu
• Direct secure messaging: spoteet649614@direct.ochin.org

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.

• Mansfield Plastic Surgery, LLC

  • Medical Specialty Clinic/Center
  • Mansfield, OH
  • NPI 1417191636

  Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Ohio Plastic and Reconstructive Surgery LLC

  • Plastic Surgery Physician
  • Marysville, OH
  • NPI 1174190128
  Medicare reassignment NPD Authorized official
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital of Union County

  • General Acute Care Hospital
  • Marysville, OH
  • NPI 1720159338
  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1235286048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401646",
            "telephone_number": "937-209-3100",
            "fax_number": "937-795-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401646",
            "telephone_number": "937-209-3100",
            "fax_number": "937-795-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTEET",
        "first_name": "STEPHEN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35126347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H500210",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173734",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice M. Pollard, R.D., L.D.
• Gerald Polley
• Jennifer Lee Polley
• Allison L Pond, D.O.
• Mande Postle
• Miranda Potts
• Kayla Prater
• Premier Care of Ohio, LLC
• Premier Dental
• Premise Health of Ohio Medical PA

• Plastic Surgery Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.