MICHAEL E PORTNER


Address: 803 First Street, Cleveland, MS 38732
Phone: 6628432721

MICHAEL E PORTNER (NPI# 1659439867) 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) 1659439867
Entity Type Individual
Full Name MICHAEL E PORTNER
Credential MD
Practice Address 803 First Street
Cleveland
MS 38732
Mailing Address Po Box 306
Delta Hills Nephrology Associates
Greenwood
MS 38935-0306
Practice Telephone 6628432721
Mailing Telephone 6624535208
Mailing Fax Number 6624534546
Enumeration Date 2006-12-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
09174 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00115736 05

Office Location

Street Address 803 FIRST STREET
City CLEVELAND
State MS
Zip Code 38732

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NPI Name Taxonomy Address Enumeration
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1346661584 Rebecca Winters Speech-Language Pathologist 4036 Hwy 8 East, Cleveland, MS 38732 2013-12-13
1982973186 Delta Home Health Inc Home Health 300-b South Street, Cleveland, MS 38732 2011-12-19
1730467382 Reid Farmer Davis Medico Clinic/Center 4080 Highway 8 West, Cleveland, MS 38732 2011-08-01
1700181427 Sondra Speakes Huerta Speech-Language Pathologist 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 2011-01-12
1386956027 Delta Soul Medical, LLC Hospice Care, Community Based 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 2010-07-10
1700029675 Jlrl, LLC Dentist 716 First Street, Cleveland, MS 38732 2009-04-08
1417194978 Bolivar Emergency Group LLC Physician Assistant 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 2009-01-20
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881720886 Charles Mbanefo Internal Medicine 11201 Shaker Blvd Suite 130, Cleveland, OH 44104-3833 2007-02-26
1679599203 Lavinia Negrea Internal Medicine 11100 Euclid Aveue, Cleveland, OH 44106 2006-07-15
1700850245 Balram L Chhajwani Internal Medicine 915 Clingan Ridge Dr Nw, Cleveland, TN 37312-3729 2006-02-13
1346231180 James F Simon Internal Medicine 9500 Euclid Ave # Q7, Cleveland, OH 44195-0001 2005-11-01
1376169458 Ryan Elizabeth Kennedy Internal Medicine 9500 Euclid Ave, Cleveland, OH 44195-0001 2020-06-24
1033663323 Omar Aleter Internal Medicine 9500 Euclid Ave # Na23, Cleveland, OH 44195-5302 2016-08-04
1497117139 Liza Krassimirova Cholin Internal Medicine 9500 Euclid Ave # Na-23, Cleveland, OH 44195-0001 2016-03-22
1164823894 Bradley Nephrology Internal Medicine 915 Clingan Ridge Dr Nw, Cleveland, TN 37312-3729 2014-09-12
1003224411 Tarek Ashour Internal Medicine 9500 Euclid Ave # Q7, Cleveland, OH 44195-4122 2014-07-29
1497161020 Bushra Syed Internal Medicine 9500 Euclid Ave # Q7, Cleveland, OH 44195-1015 2014-07-02
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City CLEVELAND
Zip Code 38732

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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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