DR. ALSTON MICHAEL PORTER (NPI# 1326099334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326099334 |
| Entity Type | Individual |
| Full Name | DR. ALSTON MICHAEL PORTER |
| Credential | M.D. |
| Practice Address |
11115 Parkview Plaza Dr Dept. of Neonatology Fort Wayne IN 46845-1701 |
| Mailing Address |
1234 E Dupont Rd Suite 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2606726400 |
| Practice Fax Number | 2606726459 |
| Mailing Telephone | 2603739700 |
| Mailing Fax Number | 2603739740 |
| Enumeration Date | 2006-05-14 |
| Last Update Date | 2013-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
G7566 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000641379 | 01 |
| Street Address |
11115 PARKVIEW PLAZA DR DEPT. OF NEONATOLOGY |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932106317 | Jayesh P Patel | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2005-06-30 |
| 1003473307 | Angela Booth | Registered Nurse | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2019-05-22 |
| 1942696356 | Sarah E Brandenberger | Genetic Counselor, MS | 11115 Parkview Plaza Dr, Attn: Sarah King, Fort Wayne, IN 46845-1701 | 2015-04-13 |
| 1588058739 | Halie Hoang Kudumula | Nurse Practitioner | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2015-03-26 |
| 1639425291 | Lisa Marie Piwoszkin | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2012-07-31 |
| 1235424482 | Christen A Merkler | Nurse Practitioner | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2011-06-16 |
| 1730400714 | Rachel Miller | Registered Nurse | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2010-06-14 |
| 1225250129 | Ravi Kudumula | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2007-05-02 |
| 1104950799 | Win Boon | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2007-03-15 |
| 1700984002 | Emily J Deneve | Nurse Practitioner | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730234071 | Northern Indiana Neonatal Associates, PC | Pediatrics | 3221 Covington Lake Dr, Fort Wayne, IN 46804-2515 | 2007-01-25 |
| 1104950799 | Win Boon | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2007-03-15 |
| 1205980208 | Christopher Kim | Pediatrics | 7950 W Jefferson Blvd, Neonatal Intensive Care Unit, Fort Wayne, IN 46804-4140 | 2007-01-23 |
| 1568515567 | Rene C. Arcellana | Pediatrics | 7950 W Jefferson Blvd, Neonatal Intensive Care Unit, Fort Wayne, IN 46804-4140 | 2007-01-21 |
| 1649322645 | Janet L. Leezer | Pediatrics | 7950 W Jefferson Blvd, Neonatal Intensive Care Unit, Fort Wayne, IN 46804-4140 | 2007-01-18 |
| 1669524732 | James E. Cameron | Pediatrics | 7950 W Jefferson Blvd, Neonatal Intensive Care Unit, Fort Wayne, IN 46804-4140 | 2007-01-17 |
| 1245381607 | Daniel A. Biehl | Pediatrics | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2007-01-14 |
| 1134185382 | Felix A Okah | Pediatrics | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-04-25 |
| 1639133127 | Candace C Caldwell | Pediatrics | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2006-04-13 |
| 1073593158 | Stephan Edwin Pepple | Pediatrics | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2006-01-17 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.