Arthur James Potter Jr., MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

AP050009 Issued in MI

Practice address

1450 Farr Rd
Suite 5000
Norton Shores, MI 49444-9738

Phone

(231) 739-9095

Fax

(231) 722-5147

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lake Michigan ENT PLLC

  • Otolaryngology Physician
  • Muskegon, MI
  • NPI 1881709988
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1679688808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 FARR RD",
            "address_2": "SUITE 5000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449738",
            "telephone_number": "231-739-9095",
            "fax_number": "231-722-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FARR RD",
            "address_2": "SUITE 5000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449738",
            "telephone_number": "231-739-9095",
            "fax_number": "231-722-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ARTHUR",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "AP050009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104555701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen L Pierre, DDS
• Dean Thomas Pierson, R.N.
• Jared August Plemon, D.C.
• Megan Ponik, PHARMD
• Port City Pediatrics
• Prac Holdings, Inc.
• Laterra Shantel Pringle
• Professional Dental Alliance of Muskegon, PLLC
• Melissa Prus, PT, DPT
• Public Protection LLC

• Otolaryngology Physician in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.