STEPHEN PORTER (NPI# 1053336099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053336099 |
| Entity Type | Individual |
| Full Name | STEPHEN PORTER |
| Credential | FNP |
| Practice Address |
140 Academy St Presque Isle ME 04769-3102 |
| Practice Telephone | 2077643142 |
| Practice Fax Number | 2077646459 |
| Mailing Telephone | 2077643142 |
| Mailing Fax Number | 2077646459 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP081247 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1053336099 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306493929 | Stephen Benjamin Porter | Pharmacist | 350 W Woodrow Wilson Ave Rm Me101-42, Jackson, MS 39213-7681 | 2019-08-19 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| 1639210115 | Stephen Geoffrey Porter | Psychiatry & Neurology | 101 Ivy Street, Brookline, MA 02446-4004 | 2007-02-09 |
| 1154323202 | Stephen Patrick Porter | Dentist | 19723 Highway 99, Ste A, Lynnwood, WA 98036-6079 | 2005-06-01 |
| 1821452558 | Stephen Porter | Physical Medicine & Rehabilitation | 2050 Versailles Rd, Lexington, KY 40504-1405 | 2016-04-08 |
| 1720021256 | Stephen C Porter | Pediatrics | 3333 Burnet Ave, Ml 2008, Cincinnati, OH 45229-3026 | 2006-06-13 |
| Street Address |
140 ACADEMY ST |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415123 | Roy Frieband | Family Medicine | 140 Academy St, Presque Isle, ME 04769-3102 | 2005-05-23 |
| 1851900971 | Georgina Aguirre | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3171 | 2020-07-24 |
| 1144840570 | Angel Hebert | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-27 |
| 1265052716 | Benjamin Mayhew | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-24 |
| 1184253247 | Thomas Merrow | Dietitian, Registered | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-04-02 |
| 1497395511 | Danielle Desjardins | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-01-07 |
| 1598302309 | Elizabeth Cole | Registered Nurse | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-11-30 |
| 1720638950 | Lindsay Ireland | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-09-19 |
| 1902468671 | Jessica Rossignol | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-07-02 |
| 1093378002 | Shea Gabriella Craig | Occupational Therapist | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731268 | Heather Montgomery | Nurse Practitioner | 23 North St Ste 2, Presque Isle, ME 04769-2295 | 2019-07-03 |
| 1689152357 | Kelsey Elizabeth Nadeau | Nurse Practitioner | 146 Academy St Ste 1b, Presque Isle, ME 04769-3102 | 2018-08-03 |
| 1902176290 | Meghan Leigh Dinneen | Nurse Practitioner | 24 North St # 4, Presque Isle, ME 04769-2239 | 2012-01-04 |
| 1831715796 | Olivia Pelletier | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2020-06-17 |
| 1497395511 | Danielle Desjardins | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2020-01-07 |
| 1720638950 | Lindsay Ireland | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-09-19 |
| 1902468671 | Jessica Rossignol | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2019-07-02 |
| 1629540430 | Melissa Renee White | Nurse Practitioner | 140 Academy St, Presque Isle, ME 04769-3102 | 2018-12-19 |
| 1033605829 | Kayla Lynn Caron | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2018-07-05 |
| 1962902932 | Alisha J Reid | Nurse Practitioner | 23 North St, Presque Isle, ME 04769-2291 | 2018-02-16 |
| Find all providers in PRESQUE ISLE | ||||
| City | PRESQUE ISLE |
| Zip Code | 04769 |
Please comment or provide details below to improve the information on STEPHEN PORTER.
| 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.