MARCUS PORTER (NPI# 1811364904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811364904 |
| Entity Type | Individual |
| Full Name | MARCUS PORTER |
| Credential | RN |
| Practice Address |
28000 Woodward Ave Royal Oak MI 48067-0960 |
| Mailing Address |
11734 Lansdowne St Detroit MI 48224-1699 |
| Practice Telephone | 2484401488 |
| Mailing Telephone | 2484401488 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704294821 | MI | Nursing Service Providers |
| Street Address |
28000 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48067-0960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497760086 | Healthcall of Detroit | Behavioral Analyst | 28000 Woodward Ave, Suite 100, Royal Oak, MI 48067-0960 | 2006-07-30 |
| 1912506718 | Valerie Corriveau | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-10-22 |
| 1811596653 | Genna Koehn | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-10-22 |
| 1184223901 | Evangela Daniels | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-10-22 |
| 1598364325 | Zahraa Hammoud | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-10-22 |
| 1083213755 | Janica So | Behavior Technician | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-10-22 |
| 1083221402 | Lisa Cornwell | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-09-29 |
| 1295342541 | Madalyn Monchnik | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-09-29 |
| 1568078368 | Kelly Lynch | Technician/Technologist | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2020-09-17 |
| 1518525427 | Clair Marie Gray | Behavioral Analyst | 28000 Woodward Ave, Royal Oak, MI 48067-0960 | 2019-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609072 | George Edward Khamis | Psychologist | 25600 Woodward Avenue, Suite 215, Royal Oak, MI 48067 | 2020-11-05 |
| 1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
| 1750917811 | Sonia B Shah-gonzalez | Case Management | 830 E Fourth St, #1, Royal Oak, MI 48067 | 2020-03-19 |
| 1568022960 | Woodo Pharmacy LLC | Pharmacy | 909 E 11 Mile Rd, Royal Oak, MI 48067 | 2019-06-18 |
| 1093217564 | Sharon Diane Malinowski | Occupational Therapist | 4949 Coolidge Hwy Section E, Adult Neuro Ot, Royal Oak, MI 48067 | 2018-03-01 |
| 1962916569 | Nuch of Michigan Inc | Clinic/Center | 2140 E 12 Mile Rd, Royal Oak, MI 48067 | 2017-11-20 |
| 1629420179 | Christine Paige | Homeopath | 1112 Catalpa, Royal Oak, MI 48067 | 2016-07-08 |
| 1104277045 | Rppc Labs, LLC | Clinical Medical Laboratory | 26154 Woodward Ave Ste 5, Royal Oak, MI 48067 | 2016-06-22 |
| 1346606423 | Thomas Michalos | Counselor | 402 S. Lafayette, Royal Oak, MI 48067 | 2016-01-05 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| Find all providers in zip 48067 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796764 | Rebekah J Trivilino | Registered Nurse | 619 W Houstonia Ave, Royal Oak, MI 48073-4083 | 2020-09-24 |
| 1508234212 | Valetta Aldridge | Registered Nurse | 28000 Woodward, Royal Oak, MI 48067 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1508473653 | Latoia Pharr | Registered Nurse | 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 | 2020-09-23 |
| 1093332843 | Laurence Stephen Reuben | Registered Nurse | 26070 Radclift Pl, Oak Park, MI 48237-1047 | 2020-06-28 |
| 1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
| 1558980862 | Kyesha Noble | Registered Nurse | 545 Abbey St Apt G, Muskegon, MI 49442-2155 | 2020-04-16 |
| 1568095222 | Leslie Kidd | Registered Nurse | 8904 Cedar Lake Dr, Jenison, MI 49428-9462 | 2020-02-20 |
| 1164054086 | Brenda S Vanaanhold | Registered Nurse | 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 | 2020-02-08 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1134777592 | Alicia Marie Gregg | Registered Nurse | 6024 Walton Rd, Kingsley, MI 49649-9275 | 2019-08-29 |
| 1144874397 | Stephanie Ann Tomasi | Registered Nurse | 35160 6 Mile Rd, Livonia, MI 48152-2977 | 2019-07-26 |
| Find all providers with the same taxonomy | ||||
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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.