GLYN ANNE PORTER (NPI# 1114912920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114912920 |
| Entity Type | Individual |
| Full Name | GLYN ANNE PORTER |
| Credential | M.D. |
| Practice Address |
2901 Pepper Creek Bridge Pkwy Valparaiso IN 46385-7127 |
| Practice Telephone | 2194059950 |
| Practice Fax Number | 2194643873 |
| Mailing Telephone | 2194059950 |
| Mailing Fax Number | 2194643873 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2011-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
01044317A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200409510 | 05 |
| Street Address |
2901 PEPPER CREEK BRIDGE PKWY |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46385-7127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
| 1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
| 1295254738 | Tiffany Rudziewicz | Massage Therapist | 417 Center St., Valparaiso, IN 46385 | 2017-09-15 |
| 1700255866 | Stephanie Ebsch | Developmental Therapist | 332 W Hwy 6, Valparaiso, IN 46385 | 2015-09-18 |
| 1851781637 | Emily Bisch | Specialist/Technologist | 304 Alba Ct, Valaparaiso, IN 46385 | 2015-01-30 |
| 1255734042 | Jacobs Ladder | Early Intervention Provider Agency | 322 W. 806n, Valparaiso, IN 46385 | 2014-10-07 |
| 1952715062 | Emily Barnes | Occupational Therapist | 332 W. Hwy 6, Valparaiso, IN 46385 | 2014-06-17 |
| 1073853990 | April M Sanders | Social Worker | 660 W. Morthland Dr, Valparraiso, IN 46385 | 2013-03-01 |
| 1245528843 | Bridget K Sibo | Social Worker | 2453 Knights Bridge Drive, Valparaiso, IN 46385 | 2011-07-16 |
| 1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
| Find all providers in zip 46385 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780848812 | Dean Harvey Lauer | Pathology | 2303 Throughwoods Dr, Valparaiso, IN 46385-7303 | 2008-07-17 |
| 1831182765 | Robert Brian Mcbride | Pathology | 814 Laporte Ave, Porter Memorial Hospital, Valparaiso, IN 46383-5860 | 2005-08-25 |
| 1538152434 | Timothy Herbert Prahlow | Pathology | Porter Memorial Hospital, 814 Laporte Ave, Valparaiso, IN 46383 | 2005-08-25 |
| 1346233236 | Jun Hu | Pathology | 814 Laporte Ave, Porter Memorial Hospital, Valparaiso, IN 46383-5860 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558125 | Nichole Landry Lepage | Pathology | 350 West 11th Street, Suite 4083, Indianapolis, IN 46202 | 2017-06-21 |
| 1871904532 | Michael J Hwang | Pathology | 350 W 11th St Rm 4080, Indianapolis, IN 46202-4108 | 2014-05-15 |
| 1720405814 | Jared Cobb | Pathology | 350 W 11th St Rm 4083, Indianapolis, IN 46202-4108 | 2014-03-26 |
| 1629337522 | Christin Hweisi Tsao | Pathology | 350 W 11th St Rm 5034, Indianapolis, IN 46202-4108 | 2012-05-11 |
| 1275779027 | Rick Bains | Pathology | 2560 N. Shadeland Ave., Ste. A, Indianapolis, IN 46219-1706 | 2008-12-29 |
| 1164677423 | Phoenix Clinical Labs Inc | Pathology | 8755 Guion Rd, Indianapolis, IN 46268-3047 | 2008-11-28 |
| 1457502841 | Swarna S Sikdar | Pathology | 430 Indiana Ave, Apt #326, Indianapolis, IN 46202 | 2008-10-04 |
| 1063612976 | Isabelle Ann Buehl | Pathology | 7994 West Road 75 North, Bargersville, IN 46106-9518 | 2007-07-19 |
| 1639378250 | Christopher Michael Carter | Pathology | 601 W 2nd St Rm 216, Bloomington, IN 47403 | 2007-07-13 |
| 1598963696 | Xiaolin Wu | Pathology | Iu Health Pathology Laboratory, 350 N. 11th Street, Hematopathology, Indianapolis, IN 46202 | 2007-07-10 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46385 |
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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.