MATTHEW J PORTER


Address: 2775 State Route 39, Shelby, OH 44875-9466
Phone: 4197473322

MATTHEW J PORTER (NPI# 1245737444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245737444
Entity Type Individual
Full Name MATTHEW J PORTER
Credential CDCA
Practice Address 2775 State Route 39
Shelby
OH 44875-9466
Practice Telephone 4197473322
Mailing Telephone 4197473322
Enumeration Date 2018-04-12
Last Update Date 2018-04-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3245S0500X Substance Abuse Rehabilitation Facility
Specialization: Substance Abuse Treatment, Children
Residential Treatment Facilities

Other Providers MATTHEW PORTER

NPI Name Taxonomy Address Enumeration
1477791606 Matthew Timothy Porter Family Medicine 831 Laurel Dr, Rolla, MO 65401-3841 2009-01-26
1023095676 Matthew R Porter Family Medicine 600 W. State Hwy 6, Waco, TX 76712 2005-12-26
1245865872 Matthew Mark Porter Peer Specialist 619 N Main St, Muskogee, OK 74401-4431 2020-03-04
1396284709 Matthew Kent Porter Physician Assistant 875 Swift Blvd, Richland, WA 99352 2017-02-17
1649658618 Matthew Porter Ophthalmology 3601 4th St, Ms 9410, Lubbock, TX 79430-0002 2015-05-11
1821338344 Matthew E. Porter Physician Assistant 4 Hawthorne Dr, Bedford, NH 03110-6983 2013-02-20
1457561540 Matthew Darren Porter Marriage & Family Therapist 406 16th Ave, San Francisco, CA 94118-2812 2007-05-23
1891911467 Matthew Calvin Porter Psychologist 1425 Madison Ave, 16-50, New York, NY 10029-6514 2007-04-18
1598811986 Matthew Charles Porter Family Medicine 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 2007-01-26
1023165982 Matthew Porter Emergency Medicine 700 E Marshall Ave, Longview, TX 75601-5580 2007-01-04

Office Location

Street Address 2775 STATE ROUTE 39
City SHELBY
State OH
Zip Code 44875-9466

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376518902 Cornell Abraxas Group, Inc. Clinic/Center 2775 State Route 39, Shelby, OH 44875-9466 2006-02-17
1033726039 Paige Snyder Counselor 2775 State Route 39, Shelby, OH 44875-9466 2020-09-24
1598370751 Erin Ball Counselor 2775 State Route 39, Shelby, OH 44875-9466 2020-09-14
1689289860 Josh Alamanteoff Counselor 2775 State Route 39, Shelby, OH 44875-9466 2020-09-14
1891306783 Destinee Oney Licensed Practical Nurse 2775 State Route 39, Shelby, OH 44875-9466 2020-08-13
1548878283 Kaitlyn Lamb Counselor 2775 State Route 39, Shelby, OH 44875-9466 2020-07-20
1083239594 Jospeh Norris Counselor 2775 State Route 39, Shelby, OH 44875-9466 2020-06-10
1962027474 Joseph Goracke Counselor 2775 State Route 39, Shelby, OH 44875-9466 2020-06-10
1962022814 Jacquille Fletcher Counselor 2775 State Route 39, Shelby, OH 44875-9466 2020-04-21
1386263036 Mary Metoyer Licensed Practical Nurse 2775 State Route 39, Shelby, OH 44875-9466 2020-04-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962999755 Michael Lee Mason Counselor 2779 St. Rt. 39, Shelby, OH 44875 2018-04-17
1336646009 Toia Branklin Counselor 2779 St Rt 39, Shelby, OH 44875 2018-04-10
1801397138 Stephanie L Kamp Social Worker 29 Steele Ave, Shelby, OH 44875 2018-02-22
1164956744 Brandy Brown Licensed Practical Nurse 2775 St. Rt. 39, Shelby, OH 44875 2017-04-20
1306229281 Spencer Blevins Specialist/Technologist 7025 State Route 61 N, Shelby, OH 44875 2015-07-09
1194141150 Karen Rittenhouse Occupational Therapist 109 Auburn Ave., Auburn Elementary, Shelby, OH 44875 2014-03-13
1467877100 Adrianne Stumbo Licensed Practical Nurse 2708 Holtz Rd, Shelby, OH 44875 2014-03-04
1730452608 Amy Marie Weiner Community Health Worker 225 West Main Street, Shelby, OH 44875 2012-02-22
1093038218 Susan K Mcfarland Licensed Practical Nurse 77 Grand Blvd Ext, Shelby, OH 44875 2010-03-02
1427289362 Mary Catherine Finnegan Physical Therapy Assistant 60 Grand Blvd Apt 1, Shelby, OH 44875 2009-07-27
Find all providers in zip 44875

Taxonomy Information

Taxonomy Code 3245S0500X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility
Specialization Substance Abuse Treatment, Children

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043793169 Brandon Stone Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-09-13
1518457639 Bryan K Hall Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-05-14
1972090892 Curtis J Mateo Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-04-16
1891292520 Devon R Garrett Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-04-10
1780181776 Robert Newhon Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-04-07
1316444300 Jeremy Bowman Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-04-07
1831696970 Gerald Polk Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-04-06
1932606076 Christopher Douglass Bradford I Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-04-06
1568969608 Mitchell Hall Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-04-06
1659878791 Jay Jason Summers Substance Abuse Rehabilitation Facility 2775 State Route 39, Shelby, OH 44875-9466 2018-04-06
Find all providers in SHELBY

Competitor

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City SHELBY
Zip Code 44875

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Dataset Information

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.

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