David R Potts
Physical Medicine & Rehabilitation Doctor Gynecologist
1701 S Creasy Ln
Lafayette
, Indiana 47905-4972
David R Potts
Physical Medicine & Rehabilitation Doctor Gynecologist
1701 S Creasy Ln
Lafayette
, Indiana 47905-4972
(317) 865-1479
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About
Features
Specialties
- Gynecologist
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- David R Potts
- 1040 Sierra Dr Ste 400
- Greenwood, IN
- Zip : 46143-7241
- Fax : (317) 865-1479
- Phone : (317) 528-4800
Second Address
- David R Potts
- 1701 S Creasy Ln
- Lafayette, IN
- Zip : 47905-4972
- Fax : (765) 423-7449
- Phone : (765) 423-6690
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VG0400X | Gynecologist | 01025797A | IN |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 01025797A | IN |
National Provider Identifier
| NPI | 1033132949 |
|---|---|
| Provider Name | David R Potts |
| First Address | Greenwood, IN 46143-7241 |
| Second Address | Lafayette, IN 47905-4972 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 13/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000184981 | ANTHEM PROVIDER NUMBER (01) | IN |
| 100331900 | (05) | IN |
| 10785185 | CAQH (01) | IN |
| 160049667 | MEDICARE RAILROAD (01) | IN |
| C25703 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.