Active NPI
William B. Potos M.D. Family Medicine
- Primary Care Clinic/Center
- Milwaukee, WI
National Provider Identifier
1679797146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 14134
- Legal business name
- WILLIAM B. POTOS M.D. FAMILY MEDICINE
- Practice address
- 2500 W Layton Ave
Suite 290
Milwaukee, WI 53221-5420 - Phone
- (414) 281-9651
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William B Potos, MD
- Title
- President
- Phone
- (414) 281-9651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 14134 | WI | Primary |
Addresses
Primary practice location
2500 W Layton Ave
Suite 290
Milwaukee, WI 53221-5420
Mailing address
2500 W Layton Ave
Suite 290
Milwaukee, WI 53221-5420
Phone (414) 281-9651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30862500 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227225600000",
"number": "1679797146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W LAYTON AVE",
"address_2": "SUITE 290",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532215420",
"telephone_number": "414-281-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W LAYTON AVE",
"address_2": "SUITE 290",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532215420",
"telephone_number": "414-281-9651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM B. POTOS M.D. FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-13",
"last_updated": "2008-11-21",
"status": "A",
"authorized_official_last_name": "POTOS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-281-9651",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "WI",
"license": "14134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30862500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.