Potomac Square Family Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

POTOMAC SQUARE FAMILY MEDICINE, LLC

Practice address

3100 N Academy Blvd Ste 211
Colorado Springs, CO 80917-5332

Phone

(719) 301-7162

NPI assigned

Apr 6, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tresa Switzer

Title

Controller

Phone

(303) 341-4730

Specialties & licenses 1

Addresses

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evan Alexandra Glover, PA-C

  • Physician Assistant
  • Lakewood, CO
  • NPI 1366912230
  NPD
• Paul Joseph Hongo

  • Medical Physician Assistant
  • Denver, CO
  • NPI 1598004954
  NPD
• Lara Louise Hunter, PA

  • Surgical Physician Assistant
  • Longmont, CO
  • NPI 1063714848
  NPD
• Jessica K Kennedy, PA-C

  • Physician Assistant
  • Thornton, CO
  • NPI 1528493368
  NPD
• John Edward Marquez, PAC

  • Medical Physician Assistant
  • Englewood, CO
  • NPI 1023153723
  NPD
• Michael E McCleery, P.A.

  • Medical Physician Assistant
  • Englewood, CO
  • NPI 1811975915
  NPD
• Jeromy Glenn Wilson, P.A.-C

  • Physician Assistant
  • Westminster, CO
  • NPI 1033394150
  NPD

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1992446405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102167",
            "telephone_number": "508-213-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N ACADEMY BLVD STE 211",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175332",
            "telephone_number": "719-301-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC SQUARE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "SWITZER",
        "authorized_official_first_name": "TRESA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "303-341-4730"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Shift Psychotherapy LLC
• Keith Sanders Poston
• Valentina Postorino
• Jennifer Nguyen Potage, PHD, LPC, NCC
• Kyle Pothoven
• Allison Potter
• Jessica Potter, OTR/L
• Richard Potter, RNFA
• Kevin Dane Potts, AUD
• Trudy D Potts

• Primary Care Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.