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Active NPI 1154508307 Individual Practitioner Female Practitioner

Amy Denise Pothorski , LPN

Licensed Practical Nurse • Fredericktown, OH

Professional Overview & Biography Verified Profile Summary

Amy Pothorski, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Fredericktown, OH. Practice services are available at 133 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

133 S Main St

Fredericktown, OH 430191263

Telephone 7406941145

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Fredericktown, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
15 Specialists

Practicing in Fredericktown, OH (13034 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH PN 128710

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2794632 (OH)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active April 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2011

Registered at 133 S MAIN ST, FREDERICKTOWN, OH 430191263 (Tel: 7406941145)

📍
Updated Business Mailing Address April 25, 2011

Registered at 133 S MAIN ST, FREDERICKTOWN, OH 430191263 (Tel: 7406941145)

👤
Provider Name / Credentials Updated April 25, 2011

Recorded as AMY POTHORSKI, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2011

Licensed Practical Nurse (License #PN 128710 in OH)

🟢
Initial NPI Registration & Enumeration January 29, 2008

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: 1154508307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 29, 2008
Last Update: April 25, 2011
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

133 S Main St

Fredericktown, OH 430191263

Phone: 7406941145

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.