DR. HOMA JACKSON PORTER II (NPI# 1073560058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073560058 |
| Entity Type | Individual |
| Full Name | DR. HOMA JACKSON PORTER II |
| Other Name | DR. JAKE PORTER II |
| Credential | M.D. |
| Practice Address |
8230 Walnut Hill Ln Suite 700 Dallas TX 75231-4482 |
| Mailing Address |
3600 Gaston Ave Suite 1205 Dallas TX 75246-1800 |
| Practice Telephone | 2146911902 |
| Practice Fax Number | 2149871845 |
| Mailing Telephone | 2146928262 |
| Mailing Fax Number | 2146964190 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | L8894 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 168549702 | 05 | |
| TX | RRMCR | P00129571 | 01 |
| TX | 168549701 | 05 | |
| BCBS PROVIDER ID | 8M6732 | 01 |
| Street Address |
8230 WALNUT HILL LN SUITE 700 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-4482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347454 | Swdic Imaging Center Partnership, LLP | Clinic/Center | 8230 Walnut Hill Ln, Suite 100, Dallas, TX 75231-4482 | 2005-06-23 |
| 1437609484 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 8230 Walnut Hill Ln, Professional Bldg IIi, Suite 320, Dallas, TX 75231-4482 | 2016-10-13 |
| 1760838692 | Dns-jt LLC | Physician Assistant | 8230 Walnut Hill Ln, Ste 220, Dallas, TX 75231-4482 | 2016-05-10 |
| 1528427416 | Omni Hand Surgery, Pllc | Plastic Surgery | 8230 Walnut Hill Ln, Professional Building IIi Suite 212, Dallas, TX 75231-4482 | 2016-02-19 |
| 1588021638 | Dns-rw LLC | Registered Nurse | 8230 Walnut Hill Ln, Ste 220, Dallas, TX 75231-4482 | 2016-01-20 |
| 1528444635 | Dns-rj LLC | Physician Assistant | 8230 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4482 | 2015-07-31 |
| 1396127304 | Vertical Dynamics, LLC | Registered Nurse | 8230 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4482 | 2015-06-25 |
| 1902288996 | Dns-jd, LLC | Physician Assistant | 8230 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4482 | 2015-06-25 |
| 1265814263 | Dns-md, LLC | Physician Assistant | 8230 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4482 | 2015-06-25 |
| 1215319215 | Dns-jk, LLC | Nurse Practitioner | 8230 Walnut Hill Ln, Suite 220, Dallas, TX 75231-4482 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750708061 | Boston Medical Group - Texas, P.a. | Urology | 12801 N Central Expy Ste 1107, Dallas, TX 75243-1893 | 2014-03-25 |
| 1033553409 | Andrew Yang Sun | Urology | 1411 N Beckley Ave Ste 464, Dallas, TX 75203-1268 | 2013-04-29 |
| 1518229046 | Dayron Rodriguez | Urology | Ut Southwestern Department of Urology, 5323 Harry Hines Blvd. Ja5.120, Dallas, TX 75235 | 2012-06-11 |
| 1679830442 | Brett Allen Johnson | Urology | 2001 Inwood Dr Urology - Ut Southwestern Medical Center, Dallas, TX 75390-0001 | 2012-04-18 |
| 1588930200 | Ted Daniel Klein | Urology | 7777 Forest Ln Ste C618, Dallas, TX 75230-6855 | 2012-03-27 |
| 1023309986 | Tolulope Bakare | Urology | 2001 Inwood Rd Bldg 3, Dallas, TX 75390-7202 | 2011-04-27 |
| 1457599334 | The Urology Institute Frsico | Urology | 9 Medical Pkwy Ste 307, Dallas, TX 75234-7855 | 2009-01-30 |
| 1972756815 | Arthur Walter Shannon | Urology | 3851 Potomac, Dallas, TX 75205 | 2008-10-23 |
| 1265612493 | Allen Plotkin | Urology | 8 Crownwood Ct, Dallas, TX 75225-2068 | 2007-11-05 |
| 1720157365 | Craig Andrew Peters | Urology | 2350 N. Stemmons Freeway, Suite F4300, Dallas, TX 75207 | 2006-11-07 |
| Find all providers in DALLAS | ||||
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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.