Potomac Medical Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

07808173 Issued in VA

Legal business name

POTOMAC MEDICAL SERVICES

Practice address

41338 Raspberry Dr
Leesburg, VA 20176-7826

Phone

(703) 669-1500

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Dwyer

Title

Pres

Phone

(703) 669-1500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1427452689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41338 RASPBERRY DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201767826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41338 RASPBERRY DR",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201767826",
            "telephone_number": "703-669-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "703-669-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "07808173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sumalee Maneematcha Poonsawat
• Payam Pooyan, M.D.
• Rupa D Porob, PMHNP
• Posabilities Clinic, LLC (PosAbilities ABA Clinic)
• Jagadish Potluri, MD
• Joanna Potterfield, FNP
• Cole Powell, ATC
• Prathima Polepalli Setty MD PC
• Premier Trauma and Surgical Specialists LLC
• Premier Trauma and Surgical Specialists LLC

• Durable Medical Equipment & Medical Supplies in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.