Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710541438 Individual Practitioner Male Practitioner

Dr. John C Devine , MD

Pediatrics • Potsdam, NY

Professional Overview & Biography Verified Profile Summary

Dr. John Devine, MD is a registered healthcare professional specializing in Pediatrics in Potsdam, NY. Practice services are available at 15 RAYMOND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15 Raymond St

Potsdam, NY 136761163

Telephone 3152659271

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Potsdam, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Potsdam, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 315559

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License NC 250480

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

101 Manning Dr.

Chapel Hill, NC 27514

Phone: 9849741000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Tayla Durant , NP

Nurse Practitioner - Pediatrics

NPI 1114531670

Nurse Practitioner

NPI 1346472826

Doctor of Medicine (M.D.)

Emily Fullerton , PA-C

Physician Assistant

NPI 1528366051

Physician Assistant (Certified)

NPI 1720498587

Doctor of Medicine (M.D.)

NPI 1811163066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2024

Pediatrics (License #315559 in NY)

📍
Updated Practice Location September 14, 2022

Registered at 15 RAYMOND ST, POTSDAM, NY 136761163 (Tel: 3152659271)

NPI Profile Active April 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2019

Registered at 101 MANNING DR., CHAPEL HILL, NC 27514 (Tel: 9849741000)

📍
Updated Business Mailing Address April 29, 2019

Registered at 23939 CO RT 59, DEXTER, NY 13634 (Tel: 3157783592)

👤
Provider Name / Credentials Updated April 29, 2019

Recorded as JOHN DEVINE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2019

Student in an Organized Health Care Education/Training Program (License #250480 in NC)

🟢
Initial NPI Registration & Enumeration April 29, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710541438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2019
Last Update: July 25, 2024
Sole Proprietor: Yes

Mailing Address

23939 Co Rt 59

Dexter, NY 13634

Phone: 3157783592

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.