DR. PHILLIP PORTER (NPI# 1033123575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033123575 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP PORTER |
| Credential | MD |
| Practice Address |
1200 Oakleaf Way Suite A Altoona WI 54720-2245 |
| Practice Telephone | 7158321400 |
| Mailing Telephone | 7158321400 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 45030 020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34275200 | 05 |
| Street Address |
1200 OAKLEAF WAY SUITE A |
| City | ALTOONA |
| State | WI |
| Zip Code | 54720-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699778829 | Chippewa Valley Orthopedics and Sports Medicine Clinic Sc | Neurological Surgery | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2005-05-23 |
| 1639682743 | Heather Dayton | Specialist/Technologist | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2017-11-10 |
| 1831628114 | Katrina Lynn Lindner | Physical Therapy Assistant | 1200 Oakleaf Way, Suite B, Altoona, WI 54720 | 2017-06-08 |
| 1952856346 | Taylor J Cunningham | Physician Assistant | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2016-08-16 |
| 1659757987 | Brooklyn Marie Laube | Physical Therapist | 1200 Oakleaf Way, Suite B, Altoona, WI 54720-2245 | 2015-08-10 |
| 1649679119 | Kate E Nelson | Registered Nurse | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2014-08-20 |
| 1437568292 | Kathleen King | Nurse Practitioner | 1200 Oakleaf Way, Altoona, WI 54720-2245 | 2014-08-06 |
| 1831514975 | Cindi Weisenberger | Registered Nurse | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2014-02-26 |
| 1154763258 | Tj Nereng | Physical Therapist | 1200 Oakleaf Way, Suite B, Altoona, WI 54720-2245 | 2013-07-18 |
| 1811336050 | Shawna Rose Mess | Physician Assistant | 1200 Oakleaf Way, Ste A, Altoona, WI 54720 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1821541046 | Stephanie Meyer | Optometrist | 3063 Meadowlark Ln, #10, Altoona, WI 54720 | 2016-07-25 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| 1669826095 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 286 North Willson Dr., Altoona, WI 54720 | 2016-04-22 |
| 1366881781 | Ingrid Ellen Schroeder | Occupational Therapy Assistant | 1203 Bartlett Avenue, Altoona, WI 54720 | 2013-06-19 |
| 1790972099 | Assisted Living Concepts Inc | Assisted Living Facility | 342 Twin Oak Drive, Altoona, WI 54720 | 2007-10-01 |
| 1427262302 | Amanda Lynn Busse | Occupational Therapy Assistant | 2512 New Pine Drive, Altoona, WI 54720 | 2007-05-09 |
| 1316954928 | Oral and Maxillofacial Surgery Asso of Eau Claire Sc | Oral & Maxillofacial Surgery | 788 Oakleaf Way, Altoona, WI 54720 | 2006-08-03 |
| 1740230838 | Jodi Hansen Ritsch | Family Medicine | 1476 Blazing Star Blvd, Suite 4, Altoona, WI 54720 | 2006-05-11 |
| 1225095508 | Kirsten L Taylor | Counselor | 2519 North Hillcrest Parkway, Suite 103, Altoona, WI 54720 | 2006-04-28 |
| Find all providers in zip 54720 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528131331 | Allegheny Brain and Spine Surgeons PC | Neurological Surgery | 501 Howard Ave Ste E1, Altoona, PA 16601 | 2006-11-17 |
| 1699778829 | Chippewa Valley Orthopedics and Sports Medicine Clinic Sc | Neurological Surgery | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2005-05-23 |
| 1306078183 | Ali Kooshkabadi | Neurological Surgery | 501 Howard Ave, Bldg E1, Altoona, PA 16601-4810 | 2009-08-13 |
| 1831262948 | Carroll Prentiss Osgood Jr. | Neurological Surgery | 501 Howard Ave, Building F-3, Altoona, PA 16601-4810 | 2006-11-16 |
| 1720151855 | James Paul Burke | Neurological Surgery | 501 Howard Ave, Building F-3, Altoona, PA 16601 | 2006-11-16 |
| 1174610174 | Kamal Thapar | Neurological Surgery | 1200 Oakleaf Way, Suite A, Altoona, WI 54720-2245 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
| 1538324793 | Jose Luis Salazar | Neurological Surgery | 3220 N Shore Dr, Delavan, WI 53115-3800 | 2008-07-26 |
| 1205094711 | Bruce Clarke Bressler | Neurological Surgery | 3117 Bay View Dr, Green Bay, WI 54311-5909 | 2008-05-30 |
| 1154506921 | Werner E Langheim | Neurological Surgery | 4505 Fox Bluff Lane, Middleton, WI 53562-2327 | 2007-12-29 |
| 1427251339 | Pedro Daniel Suberviola | Neurological Surgery | 3255 Yale Ct, Brookfield, WI 53005-2772 | 2007-06-07 |
| 1831212778 | Allan Bertram Levin | Neurological Surgery | 4585 Fox Bluff Ln, Middleton, WI 53562-2327 | 2007-04-07 |
| 1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
| 1538269402 | Christopher I. Mackay | Neurological Surgery | 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 | 2006-09-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.