ANDREW PORTER


Address: 7149 Blacksheep Run, Fort Campbell, KY 42223-5111
Phone: 7176340328

ANDREW PORTER (NPI# 1487264503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487264503
Entity Type Individual
Full Name ANDREW PORTER
Credential PA-C
Practice Address 7149 Blacksheep Run
Fort Campbell
KY 42223-5111
Mailing Address 550 Tacoma Dr
Clarksville
TN 37043-2123
Practice Telephone 7176340328
Mailing Telephone 7176340328
Enumeration Date 2020-08-04
Last Update Date 2020-08-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 171000000X Military Health Care Provider 1174468 Other Service Providers
Y 171000000X Military Health Care Provider Other Service Providers

Other Providers ANDREW PORTER

NPI Name Taxonomy Address Enumeration
1720408800 Andrew Porter Pediatrics 202 Village Center Pkwy, Stockbridge, GA 30281-9044 2014-04-16
1134331861 Andrew Porter Counselor 1800 Nw 122nd St, Oklahoma City, OK 73120-9524 2007-05-04
1225558737 Andrew Porter Orthopaedic Surgery 3401 N Broad St, Philadelphia, PA 19140-5103 2017-06-26
1932659398 Andrew Ryan Porter Acupuncturist 710 River St, Suite 11, Santa Cruz, CA 95060-2748 2016-10-10
1477908184 Andrew E Porter Physician Assistant 5700 Darrow Rd, Suite #106, Hudson, OH 44236-5026 2016-05-01
1083002570 Andrew Porter Physician Assistant 353 New Shackle Island Rd, Suite 300c, Hendersonville, TN 37075-2379 2015-01-06
1609016344 Andrew C Porter Anesthesiology 4437 State Route 159 Ste 115, Chillicothe, OH 45601-7065 2009-02-20
1427224427 Andrew C. Porter Internal Medicine 1375 E 20th Ave, Denver, CO 80205-5422 2008-04-30
1003937749 Andrew Porter Pharmacist 555 Route 88, Carmichaels, PA 15320-1173 2007-04-02
1902828148 Andrew W Porter Dentist 2533 Bert Kouns Industrial Loop, Suite 107, Shreveport, LA 71118-3158 2006-07-24

Office Location

Street Address 7149 BLACKSHEEP RUN
City FORT CAMPBELL
State KY
Zip Code 42223-5111

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336266170 Eric J Jacobson Emergency Medicine 7149 Blacksheep Run, Fort Campbell, KY 42223-5111 2007-03-26
1073721734 Blanchfield Army Community Hospital Clinic/Center 7149 Blacksheep Run, Fort Campbell, KY 42223-5318 2007-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558978825 Eden Addisu Kebede Social Worker Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 2020-09-30
1174134662 Lucas Pepper Dentist Desert Storm Ave, Bldg 5580, Apo, AA 42223 2020-08-10
1639711203 Travis Robert Bryant Optometrist 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 2019-10-15
1184138232 Vanessa Renee Simmons Dental Assistant 302b Baker St, Fort Campbell, KY 42223 2017-11-28
1922451996 Isabella Julson Dental Assistant Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 2016-07-14
1336595305 Heidi Cameron Acupuncturist 2889b Idaho Avenue, Fort Campbell, KY 42223 2016-05-10
1649644154 Nathan Silvey Physician Assistant Building 4179, Fort Campbell, KY 42223 2015-11-20
1396145306 Blanchfield Army Community Hospital Clinic/Center Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 2014-08-27
1275948564 Rodney C Merkley Psychologist Building 3929, Ft. Capmbell, KY 42223 2014-06-25
1659785053 Blanchfield Army Community Hospital Clinic/Center Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 2014-06-13
Find all providers in zip 42223

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235605932 Alexandros Athanasopoulos Military Health Care Provider 650 Joel Dr Rm 1be01d, Fort Campbell, KY 42223-5349 2018-10-19
1073958088 Adam R Pattyn Military Health Care Provider Blanchfield Army Community Hosptial, 650 Joel Drive, Fort Campbell, KY 42223 2013-05-03
1245206416 Kao Bin Chou Military Health Care Provider 3208 Indiana Ave, Fort Campbell, KY 42223-6215 2006-02-27
1518316850 Samone Franzese Military Health Care Provider Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 2016-06-07
1205114972 Deirdre Ann Schluckebier Military Health Care Provider 650 Joel Dr, Fort Campbell, KY 42223-5318 2011-07-29
1649582685 Alain Michael Pagaduan Abellada Military Health Care Provider 5979 Desert Storm Ave, Fort Campbell, KY 42223 2010-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902361090 Isiah Galarza Military Health Care Provider 5812a Billhymer St, Fort Knox, KY 40121-2028 2019-02-04
1295159622 Mary Louise Chaffins Military Health Care Provider 160 Moore Dr, Suite 201, Lexington, KY 40503-2932 2014-02-05
1346357266 Larry R Arbaugh Military Health Care Provider 111 Susan Ave, Hopkinsville, KY 42240-4951 2006-08-24
1245277524 Amber Simecek Military Health Care Provider 853 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-2727 2006-06-02
1639140684 Ross Alan Witters Military Health Care Provider 200 Brule Street, Fort Knox, KY 40121 2006-01-29
1659741593 Nathanael Harney Military Health Care Provider 289 Ireland Ave, Fort Knox, KY 40121-5111 2015-10-05
1225457252 Tracy Knutson Military Health Care Provider 1704 N Dixie Hwy # 913, Elizabethtown, KY 42701-9449 2014-04-07
1760639025 Maryanne Elizabeth Hostetter Military Health Care Provider 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-5111 2008-08-19
1346411568 Joanna Rae Thompson Military Health Care Provider 289 Ireland Ave, Fort Knox, KY 40121-5111 2008-03-15

Competitor

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City FORT CAMPBELL
Zip Code 42223

Improve Information

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Dataset Information

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.

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