Individual
DR. CHAD JEREMY POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3801 SOUTH NATIONAL, SPRINGFIELD, MO 65807
(417) 269-4056
(417) 269-5556
Mailing address
1550 E REPUBLIC RD, SPRINGFIELD, MO 65804-6530
(417) 889-6102
(417) 889-6289
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2006015225
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256
BLUE
MO
05
—
150984001
—
AR
05
—
201291606
—
MO
01
—
P00419521
RRR MEDICARE
MO
Enumeration date
06/16/2006
Last updated
09/04/2009
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