Active NPI
Sterling Glade Potter, M.D.
- Family Medicine Physician
- Price, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 165839-1205
- Practice address
- 945 W Hospital Dr
Suite # 2
Price, UT 84501-4214 - Phone
- (435) 637-6190
- Fax
- (435) 637-6317
- NPI assigned
- Aug 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 165839-1205 | UT | Primary |
Addresses
Primary practice location
945 W Hospital Dr
Suite # 2
Price, UT 84501-4214
Mailing address
945 W Hospital Dr
Suite # 2
Price, UT 84501-4214
Phone (435) 637-6190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050511001056 | UT | Practitioner - Family Practice | 3779523410 | Practice locations: Price, UT |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
945 W Hospital Dr
Ste2
Price, UT 84501-4230
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- clo9420@yourcarecommunity.org
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Parkdale Health and Rehab | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Sep 18, 2018 Sep 18, 2018 |
| Pinnacle Nursing and Rehabilitation Center | Skilled nursing facility | Operational/Managerial Control Managing Control - Governing Body Adp of the SNF |
Dec 1, 2014 Dec 1, 2014 Dec 1, 2014 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Parkdale Health & Rehab
- Skilled Nursing Facility
- Price, UT
- NPI 1154629350
Adp of the SNF, Operational/Managerial Control
-
dba Pinnacle Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Price, UT
- NPI 1336692698
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkdale Health & Rehab
- Skilled Nursing Facility
- Price, UT
- NPI 1154629350
Nursing home
-
dba Pinnacle Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Price, UT
- NPI 1336692698
Nursing home
-
dba CNS Home Health & Hospice, CNS Visiting Nurse Services
- Home Health Agency
- West Valley City, UT
- NPI 1497703870
-
dba CNS Community Hospice, CNS Hospice
- Community Based Hospice Care Agency
- Price, UT
- NPI 1902855083
-
dba Rocky Mountain Home Health - Utah
- Home Health Agency
- Woods Cross, UT
- NPI 1225914138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942314547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 W HOSPITAL DR",
"address_2": "SUITE # 2",
"city": "PRICE",
"state": "UT",
"postal_code": "845014214",
"telephone_number": "435-637-6190",
"fax_number": "435-637-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 W HOSPITAL DR",
"address_2": "SUITE # 2",
"city": "PRICE",
"state": "UT",
"postal_code": "845014214",
"telephone_number": "435-637-6190",
"fax_number": "435-637-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "STERLING",
"middle_name": "GLADE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "165839-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Price, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.