Individual
MR. POTHEN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 MEASE DR STE 305, SAFETY HARBOR, FL 34695-6605
(727) 796-4166
(727) 669-5849
Mailing address
3001 EXECUTIVE DR, CLEARWATER, FL 33762-5323
(727) 347-0005
(727) 541-6558
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME55603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01990
WELLCARE
—
05
—
055528200
—
FL
01
—
08999
BCBS FLORIDA
—
01
—
100013671
RAILROAD MEDICARE
—
01
—
1035494
CAREPLUS
—
01
—
10694801
CITRUS HEALTHCARE
—
01
—
1200283-007
CIGNA
—
01
—
206516
AV MED
—
01
—
225659
AMERIGROUP
—
01
—
2905049
UNITED HEALTHCARE
—
01
—
4248344
AETNA
—
01
—
9630253
GHI
—
Enumeration date
01/31/2006
Last updated
10/05/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us