James Lamoyne Potter, DO – Anesthesiology Physician

Key facts

NPI: 1477942159
Entity type: Individual (NPI type 1)
Primary specialty: Anesthesiology Physician 207L00000X
License: 12785680-1204 (UT)
Practice address: 210 W 300 N
Roosevelt, UT 84066-2336
Phone: (435) 722-4691
NPI assigned: Jan 17, 2015
Sex: Male
Sole proprietor: No

Organizations & group practices 6

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.

Northeastern Utah Medical Group Family Medicine Physician · Roosevelt, UT · NPI 1982664199

Medicare reassignment Care Compare group NPD UT
Uintah Basin Medical Center General Acute Care Hospital · Roosevelt, UT · NPI 1871556217

Medicare reassignment NPD UT
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology Physician · Houston, TX · NPI 1548208564

Medicare reassignment NPD ANESTHESIOLOGY · TX
Northeastern Utah Medical Group Durable Medical Equipment & Medical Supplies · Roosevelt, UT · NPI 1740482009

Care Compare group NPD
Uintah Basin Medical Center Community/Retail Pharmacy · Vernal, UT · NPI 1285420414

NPD
U S Anesthesia Partners of Texas, PA Interventional Pain Medicine Physician · Addison, TX · NPI 1053800391

NPD ANESTHESIOLOGY

Hospital & facility affiliations 3

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

Uintah Basin Medical Center General Acute Care Hospital · Roosevelt, UT · NPI 1871556217

Care Compare affiliation Hospital
Uintah Basin Medical Center General Acute Care Hospital · Vernal, UT · NPI 1881447571

Care Compare affiliation Hospital
Uintah Basin Medical Center Physical Therapy Clinic/Center · Ballard, UT · NPI 1912750662

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Anesthesiology
Education: At Still University of Health Sciences, College of Osteo Med, Kirksville, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Northeastern Utah Medical Group (52 clinicians)

Practice addresses (Care Compare)

210 W 300
Roosevelt, UT 84066-2336
Phone (435) 722-4691

250 W 300
Roosevelt, UT 84066-2336

379 N 500
Vernal, UT 84078-1956
Phone (435) 781-2030

405 N 500
Vernal, UT 84078-1907
Phone (435) 789-6203

475 N 500
Vernal, UT 84078-1907
Phone (435) 781-2030

Hospital & facility affiliations

Uintah Basin Medical Center Hospital · Roosevelt, UT · CCN 460019

Medicare participation

Medicare fee-for-service enrollment: Enrolled (2 enrollments) in TX, UT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20190809002935	TX	Practitioner - Anesthesiology	4385955178	Reassigns benefits to 1 organization
I20230104001241	UT	Practitioner - Anesthesiology	4385955178	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Osteopathy

Practice roles

Organization	Specialty	Status	New patients
U. S. Anesthesia Partners of Texas, P.a.,	Anesthesiology	Current since Jul 15, 2019	Accepting new patients
U S Anesthesia Partners of Texas, PA	Anesthesiology	Current since Jul 15, 2019	Accepting new patients
Uintah Basin Medical Center		Current since Jan 1, 2023	Accepting new patients
Northeastern Utah Medical Group		Current since Jan 1, 2023	Accepting new patients
Northeastern Utah Medical Group		Current since Jan 1, 2023	Accepting new patients
Uintah Basin Medical Center		Current since Jan 1, 2023	Accepting new patients

Locations

6606 Lyndon B Johnson Fwy
Ste 200
Dallas, TX 75240
Phone (682) 885-4054

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Anesthesiology Physician	207L00000X	2015001248	MO
Anesthesiology Physician	207L00000X	S1894	TX
Anesthesiology Physician	207L00000X	12785680-1204	UT	Yes

Addresses

Primary practice location

210 W 300 N
Roosevelt, UT 84066-2336

Mailing address

PO Box 840853
Dallas, TX 75284-0853
Phone (972) 715-5000

Other practice location 1

315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone (660) 785-1000

Other practice location 2

6606 Lyndon B Johnson Fwy Ste 200
Dallas, TX 75240-6524
Phone (972) 233-1999

Other providers in Roosevelt, UT

All providers in Roosevelt, UT · Anesthesiology Physician in Utah

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.