BRIAN PORTER (NPI# 1891878823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891878823 |
| Entity Type | Individual |
| Full Name | BRIAN PORTER |
| Credential | PA-C |
| Practice Address |
202 S Park St Madison WI 53715-1507 |
| Practice Telephone | 6082676000 |
| Mailing Telephone | 6082676000 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2025-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WISCONSIN LICENSE | 2025-023 | 01 |
| WI | 41935600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053558148 | Brian J. Porter | Chiropractor | 744 W William Cannon Dr, #3003, Austin, TX 78745-3181 | 2009-01-12 |
| 1144414095 | Brian Howard Porter | Physical Therapy Assistant | 3906 Crestmont Ave, Erie, PA 16508-3301 | 2007-09-04 |
| 1275750515 | Brian Oscar Porter | Internal Medicine | 12413 James Madison Ln, Glenn Dale, MD 20769-9168 | 2007-04-19 |
| 1841384278 | Brian N Porter | Emergency Medicine | 1214 Spring St. #1, Jeffersonville, IN 47130 | 2006-10-02 |
| 1609975358 | Brian L Porter | Dentist | 1109 E James St, Baytown, TX 77520-5821 | 2006-09-21 |
| 1710242201 | Brian Porter | Counselor | 944 Pacific Ave, Long Beach, CA 90813-4228 | 2012-07-10 |
| 1609173384 | Brian Porter | Counselor | 29120 Sw San Remo Ct, Wilsonville, OR 97070-7373 | 2011-02-16 |
| 1154587434 | Brian David Porter | Dentist | 5601 Odana Rd, Madison, WI 53719-1207 | 2008-08-06 |
| 1316145642 | Brian Story Porter | Internal Medicine | 3 Alumni Dr Ste 101, Exeter, NH 03833-2122 | 2007-07-09 |
| Street Address |
202 S PARK ST |
| City | MADISON |
| State | WI |
| Zip Code | 53715-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114920048 | Meriter Hospital, Inc. | General Practice | 202 S Park St, Madison, WI 53715-1507 | 2005-05-24 |
| 1295333839 | Monica Steigerwald | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-10-15 |
| 1376158667 | Sari L Archer | Nurse Practitioner | 202 S Park St, Madison, WI 53715-1507 | 2020-09-13 |
| 1376152710 | Jeffrey Jaeggi | Physical Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-07-30 |
| 1114544673 | Karina Kidd | Genetic Counselor, MS | 202 S Park St, Madison, WI 53715-1596 | 2020-07-01 |
| 1801412606 | Trevor Francis Boensch | Anesthesiologist Assistant | 202 S Park St, Madison, WI 53715-1507 | 2020-06-18 |
| 1225657539 | Joseph W Liggett Jr. | Clinical Nurse Specialist | 202 S Park St, Madison, WI 53715-1507 | 2020-04-16 |
| 1467081711 | Gabrielle Maria Avery | Student in an Organized Health Care Education/Training Program | 202 S Park St, Madison, WI 53715-1507 | 2020-04-07 |
| 1033748439 | Landon Jennings-stoyles | Pharmacist | 202 S Park St, Madison, WI 53715-1507 | 2020-04-07 |
| 1073140950 | Aaron Gilmour | Occupational Therapist | 202 S Park St, Madison, WI 53715-1507 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807697 | Kristi M Batchelor | Nurse Practitioner | 20 S Park St Fl 4, Madison, WI 53715 | 2017-12-15 |
| 1578927026 | Petra A Kelsey | Family Medicine | 1107 Emerald St, Madison, WI 53715 | 2016-04-11 |
| 1467889238 | Group Health Cooperative of South Central Wi | Durable Medical Equipment & Medical Supplies | 740 Regent Street, Suite 106, Madison, WI 53715 | 2013-10-10 |
| 1275888760 | Sandra Beth Miller | Physician Assistant | 700 S. Park, Suite A 404, Madison, WI 53715 | 2012-07-20 |
| 1134418486 | Matthew Lochen | Emergency Medicine | 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 | 2011-04-06 |
| 1225275720 | Eileen J Breitweiser | Social Worker | 202 South Parkt Street, Madison, WI 53715 | 2009-01-21 |
| 1225293137 | Kenneth H. Yuska, Md, Sc | Orthopaedic Surgery | 4726 East Towne Blvd., 110, Madison, WI 53715 | 2008-07-21 |
| 1063689727 | Rachel I Kornik | Dermatology | Uw Health Dept of Dermatology 1 S. Park St, Administrative Office 7th Floor, Madison, WI 53715 | 2008-05-13 |
| 1144434911 | Rebecca Sue Frye | Pharmacist | 1 South Park Street, Suite 101 Pharmacy, Madison, WI 53715 | 2007-05-10 |
| 1376755496 | Eileen C. Scrivner | Social Worker | 1008 Fish Hatchery Road, Madison, WI 53715 | 2007-05-03 |
| Find all providers in zip 53715 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594403 | Mary Josephine Elliott | Physician Assistant | 50 Beechwood Dr, Madison, CT 06443-1847 | 2020-09-26 |
| 1194354928 | Shqipe Ademi | Physician Assistant | 5417 Hazelcrest Dr, Madison, WI 53704-8910 | 2020-04-03 |
| 1902432685 | Therese Rowe | Physician Assistant | 1 Point Pl Ste 200, Madison, WI 53719-2836 | 2020-03-13 |
| 1437784139 | Mark Mckinney | Physician Assistant | 750 Highland Ave # Hslc1270, Madison, WI 53705-2221 | 2020-03-03 |
| 1619511706 | Nicole Frakes | Physician Assistant | 750 Highland Ave, Madison, WI 53705-2221 | 2019-10-31 |
| 1508428558 | Martha Busse | Physician Assistant | 1650 Monroe St Apt D, Madison, WI 53711-2045 | 2019-06-30 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1487124020 | Kaitlyn Jolena Mcmackin | Physician Assistant | 120 Fountains Blvd Ste 1000, Madison, MS 39110-6343 | 2018-11-27 |
| 1013493907 | Paulina A Hall | Physician Assistant | 700 S Park St Suite A, Madison, WI 53715-5228 | 2018-07-13 |
| 1700370020 | Mark Diaz IIi | Physician Assistant | 77 S Oakbridge Ct Apt 105, Madison, WI 53717-2030 | 2018-06-20 |
| Find all providers in MADISON | ||||
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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.