Rigby Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RIGBY FAMILY MEDICINE LLC

Practice address

480 Rigby Lake Drive
Rigby, ID 83442-0000

Phone

(208) 745-3500

Fax

(208) 745-3501

NPI assigned

May 20, 2020

Last updated

May 20, 2020By 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

Steven Jared Potter, MDNPI 1407922446

Title

Owner/President

Phone

(208) 745-3500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Jared Potter, MD

  • Family Medicine Physician
  • Rigby, ID
  • NPI 1407922446
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1609499094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 RIGBY LAKE DRIVE",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834420000",
            "telephone_number": "208-745-3500",
            "fax_number": "208-745-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 RIGBY LAKE DRIVE",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834420000",
            "telephone_number": "208-745-3500",
            "fax_number": "208-745-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIGBY FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "208-745-3500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew 4 Life, LLC
• Stephen L. Richins, PA-C
• Kody Ricks, COTA/L
• Rigby Community Care
• Rigby Dental, Inc.
• Rigby Lake Chiropractic P.C.
• Rigby Pediatric Dental PLLC (Rigby Pediatric Dental)
• Rigby Physical Therapy, PLLC
• Rigby PT, PLLC
• Jennifer Ann Robey-Williams

• Family Medicine Physician in Rigby, ID
• Providers in Rigby, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.