Dr. Samuel B Potter
Emergency Medicine

Address: Maine Medical Center, 22 Bramhall Street, Portland, ME 04102
Phone: 2076620111

Dr. Samuel B Potter (NPI# 1376074674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1376074674
Entity Type Individual
Full Name Dr. Samuel B Potter
Credential M.D.
Gender Male
Practice Address Maine Medical Center
22 Bramhall Street
Portland
ME 04102
Practice Telephone 2076620111
Mailing Address Maine Medical Center
22 Bramhall Street
Portland
ME 04102
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2017-03-27
Last Update Date 2019-07-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians MD22649 ME
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Secondary Practice Locations

Address Telephone Number Fax Number
1 Medical Center Drive, Biddeford, ME 04005 2072945000

Providers with the same name

NPI Name Taxonomy Address Enumeration
1306473889 Samuel Potter Student in an Organized Health Care Education/Training Program 245 Fountain Court, Lexington, KY 40509 2020-03-25

Physician Overview

NPI 1376074674
PAC ID by PECOS 5597094862
Professional Enrollment ID I20190911002996
Full Name Samuel B Potter
Organization Legal Name MAINEHEALTH
Phone Number 2072837600
Gender M
Medical School STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year 2017
Primary Specialty EMERGENCY MEDICINE
Group Practice PAC ID 7517860588
Number of Group Practice Members 1115
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
200019 SOUTHERN MAINE HEALTH CARE
200037 FRANKLIN MEMORIAL HOSPITAL

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912361718 Bryce Edwards Emergency Medicine 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 2016-04-07
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1104210921 Elizabeth Hatfield Emergency Medicine 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 2015-03-19
1699171918 Stephen Boyer Emergency Medicine 3708 Sw Lyle Ct, Portland, OR 97221-3963 2014-11-13
1679991590 Meaghan Dehning Emergency Medicine 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 2014-03-29
1942647185 Jason F Hine Emergency Medicine E1 Clairmont Ct, Portland, ME 04103-4459 2013-05-29
1487900742 Aaron Vitells Emergency Medicine 2424 Ne 41st Ave, Portland, OR 97212-5423 2012-07-24
1073870895 Marcus Alyn Chiodo Emergency Medicine 10000 Se Main St Ste 40, Adventist Medical Center - The Pavilion, Portland, OR 97216-2461 2012-04-18
1184913147 Jerry L Lawrence Emergency Medicine 11705 Nw Timberview Ln, Apt 204, Portland, OR 97229-6659 2011-03-30
1093959280 Mark Paul Vantighem Emergency Medicine Ohsu 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2009-05-01
Find all providers in PORTLAND

Office Location

Street Address MAINE MEDICAL CENTER
22 BRAMHALL STREET
City PORTLAND
State ME
Zip Code 04102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609437888 Zachary Chaloner Physical Medicine & Rehabilitation Maine Medical Center, 22 Bramhall Street, Portland, ME 04102-3134 2019-06-27
1316504863 Megan W Rand Physician Assistant Maine Medical Center, 22 Bramhall St, Portland, ME 04102 2019-05-21
1235690504 Isabelle Lane Curran Student in an Organized Health Care Education/Training Program Maine Medical Center, 22 Bramhall St, Portland, ME 04102 2019-03-28
1548765043 William August White Student in an Organized Health Care Education/Training Program Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2018-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
1053786525 Stephanie Mollica Social Worker 22 Bramhall Strret, Portland, ME 04102 2015-12-09
Find all providers in zip 04102

Competitor

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City PORTLAND
Zip Code 04102

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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.