STAN E POTOCKI

Address: 3621 22nd St, Ste 300, Lubbock, TX 79410-1301
Phone: 8067925331

STAN E POTOCKI (NPI# 1548209810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548209810
Entity Type Individual
Full Name STAN E POTOCKI
Credential M.D.
Practice Address 3621 22nd St
Ste 300
Lubbock
TX 79410-1301
Practice Telephone 8067925331
Practice Fax Number 8067929417
Mailing Telephone 8067925331
Mailing Fax Number 8067929417
Enumeration Date 2006-06-05
Last Update Date 2009-06-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology J8719 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX BC/BS 88681X 01
TX 029832501 05
TX RAILROAD MEDICARE 040016967 01

Office Location

Street Address 3621 22ND ST
STE 300
City LUBBOCK
State TX
Zip Code 79410-1301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962404327 Pulmonory Associates of Lubbock LLP Internal Medicine 3621 22nd St, Ste 400, Lubbock, TX 79410-1301 2005-08-15
1457965360 Frances Greg Y Bordon Nurse Practitioner 3621 22nd St, Lubbock, TX 79410-1301 2020-09-08
1851842421 Mandy Vanstory Nurse Practitioner 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 2016-10-19
1417407149 Michelle Amy Coffey Nurse Practitioner 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 2016-10-05
1639579311 Gynecologic Oncology Associates Pllc Obstetrics & Gynecology 3621 22nd St, Suite 100, Lubbock, TX 79410-1301 2014-08-29
1184068363 Andrew Shakespeare Internal Medicine 3621 22nd St, Lubbock, TX 79410 2013-04-18
1407190705 Brandi Nicole Maddigan Nurse Practitioner 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 2012-11-27
1760657464 Gloria Cleveland Audiologist 3621 22nd St, Lubbock, TX 79410-1301 2008-04-24
1912028622 Brian Paul Williams Internal Medicine 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 2007-04-02
1043259112 Thomas F Neal Otolaryngology 3621 22nd St, Ste 300, Lubbock, TX 79410-1301 2006-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548878267 Covenant Medical Center Clinic/Center 3615 19th, Lifestyle Centre-East Parking Garage, Lubbock, TX 79410 2020-07-20
1669038626 Hub City Anesthesia Nurse Anesthetist, Certified Registered 3416 22nd Street, Lubbock, TX 79410 2019-05-15
1912447418 Lubbock Surgery Center, LLC Clinic/Center 3416 22nd St, Lubbock, TX 79410 2017-03-02
1871032698 Lezlee Berry Pharmacist 3615 19th Street, Lubbock, TX 79410 2017-02-13
1376914101 Matthew Cotton Nurse Practitioner 2424 Quaker Ave, Lubbock, TX 79410 2015-10-20
1841534864 Frank Nwabugwu Pharmacist 4120 34th Street, Lubbock, TX 79410 2012-11-15
1689954794 Dharmendra Kumar Pediatrics Covenant Children'S Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
1518277177 T.r.m. Rao, M.d., P.a. Colon & Rectal Surgery 3809 22nd Street, Suite C, Lubbock, TX 79410 2010-10-18
1700196672 Hanford Consultations P.a. Family Medicine 4000 22nd Place Suite 100, Lubbock, TX 79410 2010-10-13
1336452598 Amanda Collins Specialist 4801 34th Street, Lubbock, TX 79410 2010-07-16
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609961812 Philip Alan Scolaro Otolaryngology 3802 22nd St, Suite 200, Lubbock, TX 79410-1107 2006-10-04
1134112865 William Russell Fell Otolaryngology 3802 22nd, #100, Lubbock, TX 79410 2005-08-29
1740283571 Mark L. Winter Otolaryngology 4432 S Loop 289, Lubbock, TX 79414-5005 2005-05-24
1023539426 Rahul Mahendra Varman Otolaryngology 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 2017-07-06
1790019784 Ear Nose and Throat Associates of Lubbock Pa Otolaryngology 3802 22nd St, Suite 200, Lubbock, TX 79410-1107 2009-09-24
1649456542 Kim E Pershall Md Pa Otolaryngology 3811 24th Street, Lubbock, TX 79410-1813 2008-01-10
1063632974 Joshua Charles Demke Otolaryngology 3601 4th St Fl 4, Lubbock, TX 79430-0002 2007-04-26
1124177423 Sanford T. Ward, D.o., Professional Associatiion Otolaryngology 3719 22nd St, Lubbock, TX 79410-1329 2007-01-09
1043259112 Thomas F Neal Otolaryngology 3621 22nd St, Ste 300, Lubbock, TX 79410-1301 2006-06-05
1215983788 Thomas F. Neal, M.d., Stan E. Potocki, M.d., Professional Association Otolaryngology 3621 22nd St, Ste 300, Lubbock, TX 79410-1301 2006-05-26
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Competitor

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City LUBBOCK
Zip Code 79410

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.