James D. Poettcker, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

E8821 Issued in TX

Practice address

1604 Hospital Parkway
#505
Bedford, TX 76022

Phone

(817) 267-2678

Fax

(817) 354-0854

NPI assigned

May 19, 2006

Last updated

Aug 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1831142868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PARKWAY",
            "address_2": "#505",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76022",
            "telephone_number": "817-267-2678",
            "fax_number": "817-354-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PARKWAY",
            "address_2": "#505",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "76022",
            "telephone_number": "817-267-2678",
            "fax_number": "817-354-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POETTCKER",
        "first_name": "JAMES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "CERT28481, LICE8821",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E8821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120391101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID #",
            "identifier": "E8821",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Greater Texas Inc, - Northeast
• Rachel Michele Plantz
• Samantha Plascencia
• Plocks Care LLC (Plocks Pharmacy)
• Kristi Michelle Plunk, PT, DPT, WCS, CLT
• Ronda Diane Polansky, M.S. CCC-SLP
• James Richard Polson, D.D.S.
• Sarah Anne Poole
• Sofia Poonawala-Manjee, FNP
• Tony J Porrata, LSA

• Surgery Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.