MEDICARE: DR. MICHAEL W POTTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	5552	SD
2	207T00000X	Neurological Surgery Physician	10071	ND
3	207T00000X	Neurological Surgery Physician	MD19851	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245230143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL W POTTER M.D.

Provider Business Mailing Address
First Line	:	100 DEAN DR
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-9706
Country	:	US
Telephone Number	:	541-944-1490
Fax Number	:	541-664-8291

Provider Business Practice Location Address
First Line	:	100 DEAN DR
Second Line	:
City	:	CENTRAL POINT
State	:	OR
Zip	:	97502-9706
Country	:	US
Telephone Number	:	541-944-1490
Fax Number	:	541-664-8291

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	08/23/2013

Similar Medicare Providers

1578838397 — EAGAR FAMILY CHIROPRACTIC, LLC
Practice Location Address:

674 W CENTRAL AVE
EAGAR, AZ
85925-9706

Practice Phone: 928-333-2225
Practice Fax:

1366770984 — ROBERT D BLEZA MD, LLC
Practice Location Address:

115 E 113TH AVE
CROWN POINT, IN
46307-9706

Practice Phone: 219-663-8110
Practice Fax: 219-663-8115

1144775867 — BACK & JOINT REHAB CENTER LLC
Practice Location Address:

127 E 113TH AVE
CROWN POINT, IN
46307-9706

Practice Phone: 219-331-6041
Practice Fax:

1831601566 — ARCH COMPLETE FAMILY DENTAL GROUP, INC.
Practice Location Address:

123 E 113TH AVE
CROWN POINT, IN
46307-9706

Practice Phone: 219-310-8807
Practice Fax: 219-779-9437

1811847312 — PERFECTLY LOVED MIDWIFERY, LLC
Practice Location Address:

750 TWIN CREEKS XING APT A
CENTRAL POINT, OR
97502-8656

Practice Phone: 541-778-2222
Practice Fax:

1497751275 — DEAN RANDOLPH BROWN O.D.
Practice Location Address:

650 E PINE ST , STE 105
CENTRAL POINT, OR
97502-2482

Practice Phone: 541-664-5535
Practice Fax: 541-664-7745

Directions to “ DR. MICHAEL W POTTER M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.