MATTHEW PORCH (NPI# 1750998464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750998464 |
Entity Type | Individual |
Full Name | MATTHEW PORCH |
Credential | RT(R) |
Practice Address |
877 Jefferson Ave Memphis TN 38103-2807 |
Mailing Address |
5245 Ashdown Place Cv Southaven MS 38672-6060 |
Practice Telephone | 9015457100 |
Mailing Telephone | 9016288263 |
Enumeration Date | 2020-09-26 |
Last Update Date | 2020-09-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
Street Address |
877 JEFFERSON AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38103-2807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144225590 | Clare L Mccarthy | Emergency Medicine | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2005-06-14 |
1508466467 | Ryain Alexander | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-10-29 |
1366049132 | Shruti Elizabeth Anthony | Anesthesiology | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-10-05 |
1851906101 | Stephanie Marie Baggett | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-14 |
1275148561 | Suzanne D Moyer | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-13 |
1760094999 | Adriann Skeen | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-08-19 |
1578181434 | Erika Gruber | Pharmacist | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-07-08 |
1740800267 | Katara Evonne Jackson | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-24 |
1891315560 | Emily Ann West | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-22 |
1336769009 | Penelope P Denny | Dietitian, Registered | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-04-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
Find all providers in zip 38103 |
Taxonomy Code | 247100000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922356021 | Jannnekee Burchett | Radiologic Technologist | 5292 Bradcliff St, Memphis, TN 38109-7504 | 2012-08-21 |
1932319472 | Maria M Mcneal | Radiologic Technologist | 5287 Scrivener Dr, Memphis, TN 38134-8453 | 2007-05-23 |
1326290446 | Kevin Harold Vantrees | Radiologic Technologist | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2008-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922483023 | Abigail Bargatze | Radiologic Technologist | 1708 Elm Run Way, Nashville, TN 37214 | 2015-07-30 |
1356721245 | Davin Ray Modisette | Radiologic Technologist | 18 Northland Dr, Jackson, TN 38301-3308 | 2015-06-04 |
1235568346 | Beata Joanna Czartoryski | Radiologic Technologist | 195 Lasalle Rd, Oak Ridge, TN 37830-8548 | 2013-11-08 |
1265786446 | Franklin County Diagnostics, LLC | Radiologic Technologist | 25 Veterans Dr, Decherd, TN 37324-3887 | 2012-11-09 |
1336499698 | Fasika Getahun Gebremariam | Radiologic Technologist | 4248 October Woods Dr, Antioch, TN 37013-4876 | 2012-09-14 |
1851641567 | Trinity Mobile X-ray | Radiologic Technologist | 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 | 2012-09-11 |
1265796114 | Brandon Dean Wingate | Radiologic Technologist | 323 Savannah Rdg, Murfreesboro, TN 37127-8331 | 2012-06-26 |
1689900474 | The Medical Matter LLC | Radiologic Technologist | 23 Gann Rd, Milan, TN 38358-6518 | 2009-10-28 |
1215189576 | Calvin Carter Jamel Jr. | Radiologic Technologist | 1912 Streamfield Ct, Antioch, TN 37013-5753 | 2008-10-17 |
1619457447 | Naana Serwa Bediako | Radiologic Technologist | 2018 Western Ave, Knoxville, TN 37921-5718 | 2018-08-21 |
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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.