JOHN C PORTER (NPI# 1437197647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437197647 |
| Entity Type | Individual |
| Full Name | JOHN C PORTER |
| Credential | NP-C |
| Practice Address |
444 Hospital Way Suite 801 Pocatello ID 83201-2745 |
| Mailing Address |
3544 E 17th St Ste 104 Ammon ID 83406-6910 |
| Practice Telephone | 8006134012 |
| Practice Fax Number | 2082333416 |
| Mailing Telephone | 2085222922 |
| Mailing Fax Number | 2085226330 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2016-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
NP376A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972089514 | John Wesley Porter | Optometrist | 3363 Merlin Dr, Idaho Falls, ID 83404-7405 | 2018-07-17 |
| 1205182508 | John Kenneth Porter | Internal Medicine | 1758 Park Pl Ste 100b, Montgomery, AL 36106-1133 | 2012-07-24 |
| 1891928909 | John W Porter | Physical Therapist | 2646 Edwin Dr, Beavercreek, OH 45434-6422 | 2009-08-24 |
| 1881886232 | John Lynn Porter | Dentist | 8 Spring Creek Dr, Denison, TX 75020-3721 | 2007-08-09 |
| 1700940541 | John Charles Porter | Physical Medicine & Rehabilitation | 6527 W Bloomfield Rd, Glendale, AZ 85304-1652 | 2006-12-19 |
| 1386606374 | John Michael Porter | Optometrist | 360 Northside Dr E, Statesboro, GA 30458-4839 | 2006-04-05 |
| 1295794279 | John Michael Porter | Optometrist | 12794 Royalton Rd, North Royalton, OH 44133-4229 | 2006-03-20 |
| 1487636999 | John A Porter | Psychiatry & Neurology | 3 Saint Francis Dr Ste 330, Greenville, SC 29601-3972 | 2005-11-18 |
| 1518347681 | John Michael Porter | Occupational Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2015-06-04 |
| 1841636230 | John Porter | Specialist | 1115 Grant St, Suite G5, Denver, CO 80203-2369 | 2013-05-13 |
| Street Address |
444 HOSPITAL WAY SUITE 801 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850399 | Paul W. Otto | Pharmacist | 444 Hospital Way, Ste 801, Pocatello, ID 83201-2792 | 2005-06-08 |
| 1396202388 | Matthew Coleman | Registered Nurse | 444 Hospital Way, Pocatello, ID 83201-2745 | 2019-02-26 |
| 1386091387 | Sabrina Tallon | Hearing Instrument Specialist | 444 Hospital Way, Pocatello, ID 83201-2745 | 2016-05-19 |
| 1639526932 | Cindy Wade | Counselor | 444 Hospital Way, Ste 477, Pocatello, ID 83201-2745 | 2016-05-17 |
| 1467826115 | Shannon O'donnell | Counselor | 444 Hospital Way, Ste 477, Pocatello, ID 83201-2745 | 2015-11-18 |
| 1730564576 | Devin Livesay | Pharmacist | 444 Hospital Way, Ste 801, Pocatello, ID 83201-2745 | 2015-07-22 |
| 1093101438 | Meridian Family Medicine | Nurse Practitioner | 444 Hospital Way, Room 219, Pocatello, ID 83209-2745 | 2015-04-13 |
| 1275952418 | Sterling White | Pharmacist | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2014-04-15 |
| 1740609346 | Jason Morris | Pharmacist | 444 Hospital Way, Suite 801, Pocatello, ID 83201-2745 | 2014-04-10 |
| 1447674213 | Sy Williams | Social Worker | 444 Hospital Way, Pocatello, ID 83201-2745 | 2014-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316034689 | Roberta Lynn Turner | Nurse Practitioner | 500 S. 11th Ave, Suite 303, Pocatello, ID 83201 | 2006-10-06 |
| 1376568493 | Randy Paul Vawdrey | Nurse Practitioner | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891308094 | Brandon Paul Kruse | Nurse Practitioner | 3345 S Fork Ave, Nampa, ID 83686-4855 | 2020-08-26 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1558986521 | Lisa Kay Stimpson | Nurse Practitioner | 1605 Poen Rd, Kuna, ID 83634-1743 | 2020-06-15 |
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1295372308 | Elizabeth Balleweg | Nurse Practitioner | 2306 N 31st St, Boise, ID 83703-5628 | 2019-12-09 |
| 1891264545 | Tina Monique Bossolono-williams | Nurse Practitioner | 1385 Parkview Dr Ste 101, Twin Falls, ID 83301-4084 | 2018-11-23 |
| 1821525452 | Kristin Meshelle Hofmann | Nurse Practitioner | 420 W Main St Ste 206, Boise, ID 83702-7363 | 2017-05-14 |
| 1992237648 | Candice Elaine Adams | Nurse Practitioner | 5108 N Maidstone Way, Boise, ID 83713-1367 | 2017-03-31 |
| 1851832695 | Penny Rea | Nurse Practitioner | 5307 Green Valley Pl, Nampa, ID 83686-5790 | 2017-03-13 |
| 1891176798 | Christine Cooper | Nurse Practitioner | 35 W Idaho St, Weiser, ID 83672 | 2015-06-16 |
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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.