National Provider Identifier Database

JON W POTTER, DO – NPI #1093785180
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

JON W POTTER, DO
4109 OAKWOOD HILLS PARKWAY
EAU CLAIRE, WI54701-8888
Phone: 715-552-7303
Fax: 715-552-7355
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for JON W POTTER

NPI Number 1093785180
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/23/2006
Last updated 05/24/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • IA License #: 04791
  • IL License #: 036-132113
  • MI License #: JP016277
  • WI License #: 44787-021
  • MI Medicaid: 4693501
  • WI Medicaid: 43546500
  • MI Other: 1055201131 BLUE CROSS BLUE SHIELD
  • MI Other: P00165661 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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