Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Orie R Potter, PACMPAS

Individual provider Physician Assistant · NPI 1477514958

Mr. Orie R Potter, PACMPAS is a Physician Assistant in Macomb, Illinois. Licensed in Iowa and Illinois. Registered with an NPI since 2006.

Licensed in
IA, IL
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1400 E Carroll
Macomb, IL 61455
Phone: (309) 833-2500
Fax: (309) 833-1760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085000614 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 001876 (IA)

Record details

NPI number1477514958
Entity typeIndividual (Type 1)
GenderMale
Credentials PACMPAS
Sole proprietorNo
NPI enumeratedApril 1, 2006
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Other providers in Macomb