DR. JOHN CHARLES PORTER


Address: 6527 W Bloomfield Rd, Glendale, AZ 85304-1652
Phone: 6237642894

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AZ 247173 05

Other Providers JOHN PORTER

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

Office Location

Street Address 6527 W BLOOMFIELD RD
City GLENDALE
State AZ
Zip Code 85304-1652

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City GLENDALE
Zip Code 85304

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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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