CHRISTOPHER B PORT (NPI# 1114934031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114934031 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER B PORT |
| Credential | MD |
| Practice Address |
8333 Felch St Zeeland MI 49464-2608 |
| Mailing Address |
2537 Momentum Pl Chicago IL 60689-5325 |
| Practice Telephone | 6167724644 |
| Mailing Telephone | 6169751845 |
| Mailing Fax Number | 6162850846 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2012-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 4301080313 | MI | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301080313 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | P00280900 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811258973 | Christopher Neil Port | Physician Assistant | 409 Tallulah Rd, Robbinsville, NC 28771-8500 | 2012-06-06 |
| Street Address |
8333 FELCH ST |
| City | ZEELAND |
| State | MI |
| Zip Code | 49464-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536344 | Zeeland Community Hospital | Pharmacy | 8333 Felch St, Zeeland, MI 49464-2608 | 2005-05-23 |
| 1518510114 | Katelyn Bredeweg | Clinical Nurse Specialist | 8333 Felch St, Zeeland, MI 49464-2608 | 2019-07-23 |
| 1285120683 | Kristen Morrison | Occupational Therapist | 8333 Felch St, Zeeland, MI 49464-2608 | 2018-07-09 |
| 1467956128 | Julie Kay Deboer | Physical Therapist | 8333 Felch St, Zeeland, MI 49464-2608 | 2018-03-19 |
| 1023512894 | Jackie Lynn Hudson | Occupational Therapist | 8333 Felch St, Zeeland, MI 49464-2608 | 2018-03-19 |
| 1407359243 | Laura Anne Bowling | Occupational Therapist | 8333 Felch St, Zeeland, MI 49464-2608 | 2018-03-16 |
| 1144723040 | Laurie K Depas | Occupational Therapist | 8333 Felch St, Zeeland, MI 49464-2608 | 2018-03-16 |
| 1902338619 | Philip Ryan Kaseska | Internal Medicine | 8333 Felch St, Zeeland, MI 49464-2608 | 2017-03-31 |
| 1881089266 | Allek Scheele | Pediatrics | 8333 Felch St, Zeeland, MI 49464-2608 | 2015-04-01 |
| 1841699915 | Abrianna Dalman | Pharmacist | 8333 Felch St, Zeeland, MI 49464-2608 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537646 | Judiye Eva Berkan-williams | Occupational Therapist | 320 East Central Ave, Zeeland, MI 49464 | 2018-08-08 |
| 1659710150 | Carli Edwards Van Harken | Specialist | 300 S. State St., Ste. 1, Zeeland, MI 49464 | 2013-06-18 |
| 1528316189 | Sarah Elizabeth Young | Counselor | 300 S. State Street, Suite 13, Zeeland, MI 49464 | 2012-08-29 |
| 1386819159 | Nelson Dental P.C. | Dentist | 427 Centerstone Ct., Zeeland, MI 49464 | 2008-04-23 |
| 1801080684 | Joanna Haveman | Family Medicine | 8333 Feltch Street, Suite 200, Zeeland, MI 49464 | 2007-09-05 |
| 1851454532 | Michigan Medical, PC. | Durable Medical Equipment & Medical Supplies | 8333 Felch Sreet, Suite 100, Zeeland, MI 49464 | 2006-12-18 |
| 1114099280 | Meredith L. Smedley | Dentist | 133 1/2 E. Main Ave, Zeeland, MI 49464 | 2006-11-14 |
| 1740378363 | Libby Jo Sleaford | Social Worker | Medical Office Building, 8333 Felch Street Ste 201, Zeeland, MI 49464 | 2006-10-10 |
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| 1881635746 | Tonya Ann Westerbeke | Chiropractor | 10990 Chicago Drive, Zeeland, MI 49464 | 2006-06-09 |
| Find all providers in zip 49464 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134131683 | Rick L Holland | Emergency Medicine | 8333 Felch Ave, Zeeland, MI 49464 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770059529 | Zachary Kenneth Brown | Emergency Medicine | 906 S Crapo St, Mt Pleasant, MI 48858-3662 | 2018-10-19 |
| 1356778286 | Donald Smith Pllc | Emergency Medicine | 1905 N Hammond Lake Dr, Bloomfield Hills, MI 48302-0139 | 2013-10-10 |
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1184897209 | Donnell Stephen Newman Jr. | Emergency Medicine | 1460 Lakepointe St, Grosse Pointe Park, MI 48230-1016 | 2008-04-09 |
| 1205849866 | Daryl D Wisdom | Emergency Medicine | 10015 Cascade Rd Se, Lowell, MI 49331-9529 | 2006-08-14 |
| 1760493472 | Katherine J Pitus | Emergency Medicine | 118000 E Twelve Mile Rd, Er Department, Warren, MI 48093 | 2006-08-10 |
| 1952319881 | Robert Prodinger | Emergency Medicine | 9825 W Gull Lake Dr, Richland, MI 49083-9543 | 2006-08-04 |
| 1164436671 | James Barry Nolin | Emergency Medicine | 1805 Wild Dr, Richland, MI 49083-9361 | 2006-07-28 |
| 1518987072 | Trace Dotson | Emergency Medicine | 118000 E Twelve Mile Road, Er Department, Warren, MI 48093 | 2006-07-20 |
| 1740211655 | Chris Deva Samy | Emergency Medicine | 80 Grosse Pines Dr, Rochester Hills, MI 48309-1828 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
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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.