Potomac Medical LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

D01537 Issued in MD

Legal business name

POTOMAC MEDICAL LLC

Doing business as

Atlantic Medical Supply

Practice address

420 E Patrick St
Suite 200
Frederick, MD 21701-5658

Phone

(301) 682-7800

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Eric James Burkholder

Title

President

Phone

(301) 698-7420

Specialties & licenses 1

Addresses

Other names 1

• Atlantic Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487794673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E PATRICK ST",
            "address_2": "SUITE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015658",
            "telephone_number": "301-682-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E PATRICK ST",
            "address_2": "SUITE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015658",
            "telephone_number": "301-682-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-698-7420",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MD",
            "license": "D01537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Potomac Healthcare Alliance
• Potomac Healthcare Alliance LLC
• Potomac Institute of Pain Management and Palliative Care Services
• Potomac Labs LLC
• Potomac Medical Equipment
• Potomac Spine, LLC
• Potomac Toxicology Laboratories Inc
• Potomac Wound Care Specialists
• Deborah S. Pow, LCSW-C
• Aubrie Powell, MOT

• Non-Pharmacy Dispensing Site in Frederick, MD
• Providers in Frederick, MD by specialty
• Non-Pharmacy Dispensing Site in Maryland

• 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.