ROBERT PORTER II (NPI# 1093119042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093119042 |
| Entity Type | Individual |
| Full Name | ROBERT PORTER II |
| Credential | M.D. |
| Practice Address |
1346 E Candleridge Dr Boise ID 83712-6504 |
| Practice Telephone | 2084260491 |
| Mailing Telephone | 2084260491 |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | M-3299 | ID | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381816 | Robert Edwin Porter | Dentist | 135 S Sharon Amity Rd Ste 200, Charlotte, NC 28211-3871 | 2020-06-23 |
| 1639653306 | Robert Porter | Behavior Technician | 11225 N 28th Dr Ste C115g, Phoenix, AZ 85029-5606 | 2018-09-19 |
| 1194063990 | Robert A. Porter | Specialist | 1900 Shadow Ln, Little Rock, AR 72207-2018 | 2013-01-29 |
| 1871621144 | Robert Charles Porter | Emergency Medicine | 605 Fulton Ave, Suite 2002, Rockford, IL 61103-4179 | 2007-03-01 |
| 1023052701 | Robert Sherman Porter | Emergency Medicine | Albert Einstein Med. Center, Dept. of Emergency Med., 5501 Old York Road, Philadelphia, PA 19141 | 2006-06-15 |
| 1548808579 | Robert Allen Porter | Counselor | 321 W Main St, Searsport, ME 04974-3640 | 2019-12-20 |
| 1932413663 | Robert N. Porter | Occupational Therapist | 25221 Miles Rd, Suite F, Warrensville Hts, OH 44128 | 2010-08-05 |
| 1275746422 | Robert Louis Porter | Dentist | 660 W Campbell Rd, Suite 101, Richardson, TX 75080-3301 | 2007-05-07 |
| 1053476598 | Robert K Porter | Social Worker | 721 American Ave, Suite 501, Waukesha, WI 53188-5071 | 2006-12-26 |
| 1861565988 | Robert William Porter | Physician Assistant | 190 E Bannock St, Boise, ID 83712-6241 | 2006-11-16 |
| Street Address |
1346 E CANDLERIDGE DR |
| City | BOISE |
| State | ID |
| Zip Code | 83712-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477016012 | Veranda At Barber Station LLC | Assisted Living Facility | 3266 E. Barber Valley Drive, Boise, ID 83712 | 2019-04-10 |
| 1891258612 | Mary Elizabeth Riedel | Occupational Therapist | 190 E Bancock St., Boise, ID 83712 | 2019-04-09 |
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1053898247 | Travis Dale Worwood | Social Worker | South Entrance, 1075 E. Park Blvd, Boise, ID 83712 | 2018-07-20 |
| 1689166761 | Kristen Nicole Ray | Social Worker | 109 E Bannock St, Boise, ID 83712 | 2018-06-04 |
| 1740706894 | Meghan Heitstuman | Social Worker | 190 E Bannock Street, Boise, ID 83712 | 2017-08-21 |
| 1942759725 | Kay Craig | Physical Therapist | 190 Bannock, Boise, ID 83712 | 2016-09-22 |
| 1235686395 | Sharon Bjornson | Physical Therapist | 190 East Bannack, Boise, ID 83712 | 2016-09-07 |
| 1033576491 | Heather Hussey | Genetic Counselor, MS | 100 E Idaho Street, Msti Genetics, Boise, ID 83712 | 2016-01-15 |
| 1295139137 | Amie Bartholomeus | Massage Therapist | 100 East Idaho Street, St Luke's Mountain States Tumor Institute, Boise, ID 83712 | 2014-10-21 |
| Find all providers in zip 83712 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1952768145 | Katie Garcin | Specialist | 1407 E Boston Dr, Boise, ID 83706 | 2016-01-20 |
| 1760885073 | Kelcee Keyes | Specialist | 1705 N Cole Rd, Boise, ID 83704-7304 | 2014-09-30 |
| 1386053213 | Keita Shimada | Specialist | 1910 University Dr # Ms 1020, Boise, ID 83725-0001 | 2014-08-05 |
| 1316373186 | Ralph V Nishitani | Specialist | 9317 W Pandion Ct, Boise, ID 83714-6715 | 2013-09-24 |
| 1548608094 | James Doyce Strong Jr. | Specialist | 3675 S Pimmit Ave, Boise, ID 83706-6416 | 2013-06-06 |
| 1649409269 | Iris Ginron Baker | Specialist | 3555 N Cole Rd, 105, Boise, ID 83704-0733 | 2009-07-02 |
| 1356589931 | Jay T. Ballhagen | Specialist | 10500 W Waterway Ct, Boise, ID 83714-3616 | 2009-02-04 |
| 1629228184 | Jeannette Elizabeth Flood | Specialist | 1818 W. State St, First Step for Women, Boise, ID 83702 | 2008-09-22 |
| Find all providers in BOISE | ||||
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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.