MR. MARK EDWARD PORTER (NPI# 1902313489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902313489 |
| Entity Type | Individual |
| Full Name | MR. MARK EDWARD PORTER |
| Practice Address |
2140 Merced St Fresno CA 93721-1721 |
| Practice Telephone | 5598921125 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346395522 | Mark Robert Porter | Counselor | 212 E. 8th St., Fremont, NE 68025 | 2007-01-25 |
| 1508891615 | Mark Anthony Porter | Dentist | 18730 Stone Oak Pkwy, Suite 200, San Antonio, TX 78258-4140 | 2006-07-11 |
| 1871970301 | Mark Porter | Student in an Organized Health Care Education/Training Program | 200 N Wolfe St, Baltimore, MD 21287-0011 | 2015-05-05 |
| 1538572102 | Mark Porter | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2014-06-11 |
| 1821267063 | Mark Porter | Psychologist | 1 S School Ave, Sarasota, FL 34237-6014 | 2008-02-21 |
| 1528289717 | Mark Wilkin Porter | Perfusionist | 600 Mary St, Evansville, IN 47747 | 2007-05-02 |
| 1457478828 | Mark L. Porter | Specialist/Technologist | 4381 S Eason Blvd, Tupelo, MS 38801-6583 | 2007-03-23 |
| 1275669798 | Mark F Porter | Dentist | 212 E Market St, Troy, IL 62294-1512 | 2007-02-26 |
| 1285714402 | Mark Porter | Orthopaedic Surgery | 3530 E Spaulding Ave, Pueblo, CO 81008-2209 | 2006-10-16 |
| 1346232634 | Mark A. Porter | Psychiatry & Neurology | 200 S Herlong Ave, Suite H, Rock Hill, SC 29732-1182 | 2005-08-22 |
| Street Address |
2140 MERCED ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659593192 | Gerardo Puga | Marriage & Family Therapist | 2140 Merced St, Fresno, CA 93721-1721 | 2007-05-03 |
| 1528544020 | Brenda Pheaktra Hem | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-07-17 |
| 1790270031 | Brenna Elise Garcia | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-28 |
| 1548755861 | Elia Lopez | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-28 |
| 1558856286 | Jayla Jamile Fiedor | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-26 |
| 1023502150 | Wendy Davis | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-21 |
| 1043704588 | Amanda Hem | Licensed Vocational Nurse | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-19 |
| 1033603436 | Rasmee Vang | Counselor | 2140 Merced St, Fresno, CA 93721 | 2018-06-19 |
| 1205320785 | James A Ortiz | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-19 |
| 1679066716 | Jeffrey Jerome Stanley Jr. | Counselor | 2140 Merced St, Fresno, CA 93721-1721 | 2018-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022976 | Denise Renee Hands | Counselor | 4604 E Terrace Ave, Fresno, CA 93703-2079 | 2020-10-30 |
| 1649807694 | Debbie Jeneen Darden | Counselor | 891 W Kearney Blvd, Fresno, CA 93706-2514 | 2020-03-26 |
| 1205466802 | Elizabeth C Esqueda | Counselor | 804 S Parallel Ave, Fresno, CA 93721-2404 | 2020-01-22 |
| 1295378446 | Caussaundra Maria Dominguez | Counselor | 2772 S Martin Luther King, Fresno, CA 93706 | 2019-10-21 |
| 1881244945 | Aurelio Mendoza | Counselor | 1414 W. Kearney Blvd, Fresno, CA 93706 | 2019-09-19 |
| 1356994909 | Joaquin Sanchez | Counselor | Quest House 2731 W Olive Ave, Fresno, CA 93728 | 2019-07-23 |
| 1003374539 | Jasmine Elizabeth Flores | Counselor | 2772 S Martin Luther King Junior Blvd, Fresno, CA 93706 | 2019-03-04 |
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1063982049 | Bruno Sivongxay | Counselor | 2772 South Martin L King Jr Blvd, Fresno, CA 93706 | 2018-12-03 |
| 1831669951 | Ashlee Faith Vasquez | Counselor | 1900 N Gateway Blvd Ste 100, Fresno, CA 93727-1622 | 2018-12-01 |
| Find all providers in FRESNO | ||||
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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.