Dr. Jason Pothast
Sports Medicine
18109 Prince Philip Dr Suite 155
Olney
, Maryland 20832-1519
Dr. Jason Pothast
Sports Medicine
18109 Prince Philip Dr Suite 155
Olney
, Maryland 20832-1519
(301) 570-7416
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Jason Pothast
- 18109 Prince Philip Dr Suite 155
- Olney, MD
- Zip : 20832-1519
- Fax : (301) 570-7416
- Phone : (301) 570-7415
Second Address
- Dr. Jason Pothast
- 18109 Prince Philip Dr Suite 155
- Olney, MD
- Zip : 20832-1519
- Fax : (301) 570-7416
- Phone : (301) 570-7415
Reviews
FAQs
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What type of doctor is Dr. Jason Pothast
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Is Dr. Jason Pothast a sole practitioner?
Is Dr. Jason Pothast accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | D0078451 | MD |
| Y | 213ES0000X | Sports Medicine | D0078451 | MD |
National Provider Identifier
| NPI | 1508003971 |
|---|---|
| Provider Name | Dr. Jason Pothast |
| First Address | Olney, MD 20832-1519 |
| Second Address | Olney, MD 20832-1519 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2009 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0308871 | (05) | NJ |
| 102738394 | (05) | PA |
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.