Organization Active NPI

Douglas H Potter MD

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1578993077
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
003692-1 Issued in NY
Legal business name
DOUGLAS H POTTER MD
Practice address
1742 E Ridge Rd
Rochester, NY 14622-2157
Phone
(585) 467-7020
Fax
(585) 266-1612
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Douglas H Potter, MD
Title
Owner
Phone
(585) 467-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 003692-1 NY Primary

Addresses

Primary practice location

1742 E Ridge Rd
Rochester, NY 14622-2157

Mailing address

1742 E Ridge Rd
Rochester, NY 14622-2157
Phone (585) 467-7020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1578993077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-467-7020",
            "fax_number": "585-266-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222157",
            "telephone_number": "585-467-7020",
            "fax_number": "585-266-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS H POTTER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-467-7020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003692-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.