Charles Potter MD SC

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

41829 Issued in WI

Legal business name

CHARLES POTTER MD SC

Practice address

3070 N 51St St Ste P309
Milwaukee, WI 53210-1645

Phone

(414) 447-7330

Fax

(414) 447-1070

NPI assigned

Feb 13, 2018

Organization subpart

No

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

Authorized official

Name

Charles Potter, MDNPI 1023092897

Title

Owner

Phone

(262) 825-8984

Specialties & licenses 1

Addresses

Practitioners 1

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

• Charles F Potter, MD

  • Neonatal-Perinatal Medicine Physician
  • Athens, GA
  • NPI 1023092897
  NPD Authorized official

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1689174948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST STE P309",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "414-447-7330",
            "fax_number": "414-447-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST STE P309",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "414-447-7330",
            "fax_number": "414-447-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES POTTER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-825-8984",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "41829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas F Charapata, D.D.S.
• Jordan Charboneau
• Charlene Transportation LLC
• Charles a. Schmitt, M.D., S.C.
• Charles C. Van Norman, M.D., S.C.
• Madeline Charles
• Charlie Enterprises
• John A. Charlson, M.D.
• Kristen Dee Charlson, PHARM.D.
• Brandon Lee Charo

• Neonatal-Perinatal Medicine Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Neonatal-Perinatal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.