Ryan Nelson Potter, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

K0544 Issued in TX

Practice address

3201 Airline Rd Ste K
Corpus Christi, TX 78414-3571

Phone

(361) 882-4452

Fax

(361) 882-5414

NPI assigned

Jul 17, 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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Comprehensive Pain Management, PA

  • Specialist
  • Corpus Christi, TX
  • NPI 1639103674
  Medicare reassignment NPD
• Titan Anesthesia Associates LLC

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1619143393
  NPD Authorized official
• Holdings of Spinecare, LLC

  • Ambulatory Surgical Clinic/Center
  • Corpus Christi, TX
  • NPI 1578610564
  NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1730107095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 AIRLINE RD STE K",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143571",
            "telephone_number": "361-882-4452",
            "fax_number": "361-882-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 AIRLINE RD STE K",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143571",
            "telephone_number": "361-882-4452",
            "fax_number": "361-882-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "RYAN",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K0544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101724602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Post Acute Specialty Hospital of Corpus Christi LLC
• Azim Zubair Pothiawala
• Lohitha Pothula Ganeshkumar, MD
• Andrea Nicole Potter, MS, LPC
• Robert Jay Potter Jr.
• Esmeralda Potts
• Munanchu Poudel, MD
• Bill Poulos
• Felecia Dawn Powell-Londono, L.AC, CH, DIPL. O.M.
• Christine Powell, RD

• Specialist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.