DR. GARRY L PORTER (NPI# 1114921699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114921699 |
| Entity Type | Individual |
| Full Name | DR. GARRY L PORTER |
| Credential | MD |
| Practice Address |
555 N Woodlawn St Ste 102 Wichita KS 67208-3671 |
| Practice Telephone | 3166522590 |
| Practice Fax Number | 3166522595 |
| Mailing Telephone | 3166522590 |
| Mailing Fax Number | 3166522595 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2013-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
04-12872 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100085320C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407164551 | Garry Porter | Social Worker | 511 E Columbus Ave, Springfield, MA 01105-2506 | 2010-09-22 |
| Street Address |
555 N WOODLAWN ST STE 102 |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144768128 | Cara Keller | Counselor | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2017-02-09 |
| 1982035036 | Rhonda Ashley-helm | Counselor | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2013-11-27 |
| 1447513015 | Connie S Bucy | Counselor | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2012-06-19 |
| 1770889354 | Jacque Lynn Tague | Counselor | 555 N Woodlawn St Ste 102, 3105, Wichita, KS 67208-3671 | 2011-01-31 |
| 1821248535 | Mary Catherine Jones | Counselor | 555 N Woodlawn St Ste 102, Suite 102, Wichita, KS 67208-3671 | 2008-09-30 |
| 1811158116 | Angela Watson | Social Worker | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2008-06-19 |
| 1740309814 | Andrew R Bennett | Marriage & Family Therapist | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2007-03-28 |
| 1538287511 | Elissa Dawn Moore | Marriage & Family Therapist | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2007-03-27 |
| 1043232317 | Gail G Routsong | Social Worker | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2006-07-24 |
| 1285682252 | Terry A Anderson | Clinical Nurse Specialist | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629568407 | Danielle Marie Jones | Psychiatry & Neurology | 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 | 2018-05-16 |
| 1790190791 | Susanna Ciccolari Micaldi | Psychiatry & Neurology | 1001 N. Minneapolis St, Wichita, KS 67214-3127 | 2014-06-27 |
| 1235563388 | Brian Everett Romalis | Psychiatry & Neurology | 7507 E Huntington St, Wichita, KS 67206-3225 | 2013-08-26 |
| 1649603655 | Cristina Cosico Rustia | Psychiatry & Neurology | 7720 E Morris St, Wichita, KS 67207-2324 | 2013-08-13 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1174780118 | M.h. Shah, M.d. | Psychiatry & Neurology | 1148 S Hillside St Ste 104, Wichita, KS 67211-4005 | 2008-05-19 |
| 1669671707 | Christi Lorraine Leach | Psychiatry & Neurology | 1515 S Clifton Ave Ste 300, Wichita, KS 67218-2953 | 2007-07-17 |
| 1720284250 | Trever Allen Krehbiel | Psychiatry & Neurology | 6432 E 34th St N Ste 100, Wichita, KS 67226-2537 | 2007-06-22 |
| 1871715086 | Rhanda Marie M Eboh | Psychiatry & Neurology | 4723 E Douglas Ave, Wichita, KS 67218-1012 | 2007-05-03 |
| 1780800326 | Achutha N. Reddy, M.d., P. A. | Psychiatry & Neurology | 1871 W 21st St N, Wichita, KS 67203-2104 | 2007-04-18 |
| Find all providers in WICHITA | ||||
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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.