DR. JOHN CHARLES PORTER (NPI# 1700940541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700940541 |
Entity Type | Individual |
Full Name | DR. JOHN CHARLES PORTER |
Credential | MD |
Practice Address |
6527 W Bloomfield Rd Glendale AZ 85304-1652 |
Mailing Address |
Po Box 5415 Glendale AZ 85312-5415 |
Practice Telephone | 6237642894 |
Practice Fax Number | 6238788712 |
Mailing Telephone | 6024678605 |
Mailing Fax Number | 6024678682 |
Enumeration Date | 2006-12-19 |
Last Update Date | 2014-04-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
15286 | AZ | Allopathic & Osteopathic Physicians |
N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
15286 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 247173 | 05 |
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 |
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 |
1609156215 | John Leslie Porter | Pharmacist | 990 Baxter Ave, Louisville, KY 40204-2064 | 2011-08-26 |
Street Address |
6527 W BLOOMFIELD RD |
City | GLENDALE |
State | AZ |
Zip Code | 85304-1652 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
Find all providers in zip 85304 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518496702 | Saa Healthcare LLC | Physical Medicine & Rehabilitation | 6320 W Union Hills Dr Ste 1400b, Glendale, AZ 85308-1061 | 2017-06-09 |
1235774019 | Rjs Healthcare LLC | Physical Medicine & Rehabilitation | 6320 W Union Hills Dr Ste 1400b, Glendale, AZ 85308-1061 | 2019-11-15 |
1053955682 | Kayla Smith | Physical Medicine & Rehabilitation | 1700 W Bender Rd, Glendale, WI 53209-3852 | 2019-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154967750 | Pain & Wellness of Arizona, LLC | Physical Medicine & Rehabilitation | 3120 E Union Hills Dr Ste 201, Phoenix, AZ 85050-3454 | 2019-11-19 |
1831730050 | Restorative Care of Arizona, P.C. | Physical Medicine & Rehabilitation | 2150 E Highland Ave Ste 107, Phoenix, AZ 85016-4720 | 2019-09-30 |
1134785967 | Dylan Irish | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 104, Mesa, AZ 85206-3628 | 2019-05-16 |
1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
1194285387 | Apr Med Group LLC | Physical Medicine & Rehabilitation | 10605 N Hayden Rd Ste D102, Scottsdale, AZ 85260-5686 | 2019-03-22 |
1932683919 | Gemma Justice Lopez | Physical Medicine & Rehabilitation | 22321 E Cherrywood Dr, Queen Creek, AZ 85142-4827 | 2018-09-17 |
1003325945 | North Scottsdale Pro | Physical Medicine & Rehabilitation | 8952 E Desert Cove Ave Ste 103, Scottsdale, AZ 85260-6776 | 2017-09-22 |
1760815237 | Dr Sheba Jilani | Physical Medicine & Rehabilitation | 4515 S Mcclintock Dr Ste 118, Tempe, AZ 85282-7381 | 2013-08-19 |
1437437605 | M S C Holding Group LLC | Physical Medicine & Rehabilitation | 1640 S Stapley Dr, Suite 245, Mesa, AZ 85204-6667 | 2011-07-22 |
1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on DR. JOHN CHARLES PORTER.
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.