CANDACE R. POTTER M.D. – NPI #1780003517
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
CANDACE POTTER is a radiologist located in KETTERING, OH. NPPES has assigned the NPI number 1780003517 to CANDACE POTTER on April 09, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name CANDACE R. SHANKS. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was previously updated about 7 years ago on Jun 18, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANDACE POTTER below.
NPI Profile for
CANDACE R. POTTER
(more than 12 years ago)
KETTERING, OH 45429 Phone: (937) 298-4331 Fax:
2 Other location(s):
Worcester, MA 01655
Phone: (508) 334-1000
Kettering, OH 45429
Phone: (937) 298-4331
Identifiers for CANDACE POTTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | OH | 14422415 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
OH | 35.135122 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
CANDACE POTTER is affiliated with the following medical group(s):
- HOSPITAL
- KETTERING HEALTH DAYTON405 GRAND AVENUE
DAYTON, OH 45405 - KETTERING HEALTH GREENE MEMORIAL1141 NORTH MONROE DRIVE
XENIA, OH 45385 - KETTERING HEALTH MIAMISBURG4000 MIAMISBURG-CENTERVILLE ROAD
MIAMISBURG, OH 45342 - KETTERING MEDICAL CENTER3535 SOUTHERN BOULEVARD
KETTERING, OH 45429 - SOIN MEDICAL CENTER3535 PENTAGON PARK BLVD
BEAVER CREEK, OH 45431
- KETTERING HEALTH DAYTON405 GRAND AVENUE
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