ANDREW JOHN PORTIS


Address: 360 Sherman St, Suite 400, Saint Paul, MN 55102-2564
Phone: 6519996800

ANDREW JOHN PORTIS (NPI# 1881681815) 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) 1881681815
Entity Type Individual
Full Name ANDREW JOHN PORTIS
Credential M.D.
Practice Address 360 Sherman St
Suite 400
Saint Paul
MN 55102-2564
Mailing Address 2550 University Ave W
Suite 240n
Saint Paul
MN 55114-1052
Practice Telephone 6519996800
Practice Fax Number 6519996810
Mailing Telephone 6519996909
Mailing Fax Number 6512976115
Enumeration Date 2005-10-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 42720 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 360 SHERMAN ST
SUITE 400
City SAINT PAUL
State MN
Zip Code 55102-2564

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205823440 Walter Paul Gleich Urology 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 2005-10-03
1730614538 Sara Welch Specialist/Technologist 360 Sherman St, Suite 300, Saint Paul, MN 55102-2564 2017-04-29
1679016497 Walgreen Co Durable Medical Equipment & Medical Supplies 360 Sherman St, Suite 100, Saint Paul, MN 55102-2564 2016-11-28
1346693934 Jenna Schoenrock Occupational Therapist 360 Sherman St, Saint Paul, MN 55102-2564 2016-07-19
1205200383 Child Neurology Solutions Pllc Psychiatry & Neurology 360 Sherman St, Suite 399, Fort Road Medical Center, Saint Paul, MN 55102-2564 2015-11-30
1619354305 Bobbi Jo Mugaas Orthotist 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 2015-05-01
1295172914 Stacey Marie Desouza Occupational Therapist 360 Sherman St, 470, Saint Paul, MN 55102-2564 2013-06-04
1104163187 Westlake Orthotics and Prosthetics Inc Prosthetic/Orthotic Supplier 360 Sherman St, Suite 160, Saint Paul, MN 55102-2564 2013-01-10
1841552296 Terese Marie Amble Psychologist 360 Sherman St, Suite 200, Saint Paul, MN 55102-2564 2012-06-12
1124309372 Jennifer K Nelson Physician Assistant 360 Sherman St, Suite 250, Saint Paul, MN 55102-2564 2011-09-01
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NPI Name Taxonomy Address Enumeration
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1730730615 Tianwei Guo Acupuncturist 613 Grand Avenue, Saint Paul, MN 55102 2019-09-23
1194374850 Justin Crawford Diehl Counselor 976 Juno Avenue, Saint Paul, MN 55102 2019-09-05
1699329169 Elisabeth Johanna Wurtmann Genetic Counselor, MS 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 2019-08-01
1265907083 Lillia Budd Nurse Practitioner 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 2018-10-08
1922505098 Women of Nations Substance Abuse Rehabilitation Facility 73 Leech Street, St. Paul, MN 55102 2018-04-06
1609371939 Courtney Marie Klinkhammer Student in an Organized Health Care Education/Training Program 1026 West Seventh Street, St. Paul, MN 55102 2018-03-28
1427429372 Compass Pathology and Consulting Clinical Medical Laboratory 360 Sherman St Suite 400b, St. Paul, MN 55102 2015-10-16
1639550494 Daniel Delapp Speech-Language Pathologist United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 2015-06-17
1124419940 Suzanne Carl Speech-Language Pathologist 360 Colborne Avenue, St. Paul, MN 55102 2015-02-16
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205823440 Walter Paul Gleich Urology 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 2005-10-03
1972915346 Colby Adams Dixon Urology 435 Phalen Blvd, Mail Stop 51103c, Saint Paul, MN 55130-5302 2014-05-20
1457779555 Jesse Jacobs Urology 435 Phalen Blvd, Saint Paul, MN 55130-5302 2014-04-04
1659695310 Garjae Dayan Lavien Urology 435 Phalen Blvd, Mail Stop 51103c, Saint Paul, MN 55130 2010-03-23
1043403363 Joshua Lane Woelk Urology 205 Wabasha St S, Saint Paul, MN 55107-1805 2007-08-21
1033107404 Michael Howard Wipf Urology 360 Sherman St, Suite 400, Saint Paul, MN 55102-2564 2005-10-11
1205823200 Michael Lee Pergament Urology 360 Sherman St, Suite 400, Saint Paul, MN 55102-2564 2005-10-04
1104813138 Peter Donald Sershon Urology 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 2005-10-04
1245227453 Robert David Fisher Urology 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 2005-10-03
1467449678 Cesar Juan Jose Ercole Urology 360 Sherman St, Suite 450, Saint Paul, MN 55102-2564 2005-10-03
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City SAINT PAUL
Zip Code 55102

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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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