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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
09174 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115736 | 05 |
| Street Address |
803 FIRST STREET |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 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 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| 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. |
| 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 |
| Find all providers in CLEVELAND | ||||
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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.