DR. BRETT PORTER (NPI# 1295093995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295093995 |
| Entity Type | Individual |
| Full Name | DR. BRETT PORTER |
| Credential | M.D. |
| Practice Address |
2160 S. First Avenue Loyola University Medical Center Maywood IL 60153-0000 |
| Mailing Address |
2160 S. First Avenue Loyola Umc Luh North Entrance Rm 7609 Maywood IL 60153-3328 |
| Practice Telephone | 7082168757 |
| Practice Fax Number | 7082161259 |
| Mailing Telephone | 7082168757 |
| Mailing Fax Number | 7082161259 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2013-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 125062122 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134175037 | Brett Cardon Porter | Personal Emergency Response Attendant | 1244 No Main St., Ste 201, Tooele, UT 84074 | 2006-05-25 |
| Street Address |
2160 S. FIRST AVENUE LOYOLA UNIVERSITY MEDICAL CENTER |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154397495 | Geoffrey Silver | Surgery | 2160 S. First Avenue, Bldg 110, 3rd Floor, Maywood, IL 60153 | 2006-02-27 |
| 1912496704 | Daniel Luc Guay | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Maywood, IL 60153 | 2018-05-07 |
| 1235661331 | Patricia Lee | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2017-03-29 |
| 1407387152 | Swapna Gudipati | Internal Medicine | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153-3328 | 2017-03-24 |
| 1295266187 | Peter Jeffrey Laub | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Maywood, IL 60153-3328 | 2017-03-23 |
| 1508307778 | Matthew James Mcshane | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153-3335 | 2017-03-20 |
| 1265827422 | Ioannis Angelidis | Surgery | 2160 S. First Avenue, Loyola Medical Center, Ems Bldg 110- Room 3210, Maywood, IL 60153 | 2015-04-03 |
| 1225423114 | Emanuel Eguia | Surgery | 2160 S. First Avenue, Loyola University Medical Cente Ems Bldg 110- Room 3210, Maywood, IL 60153 | 2015-03-30 |
| 1124446117 | Kenneth Kin Kan Chan | Family Medicine | 2160 S. First Avenue, Loyola Outpatient Center, 4300, Maywood, IL 60153 | 2014-04-07 |
| 1952729527 | Thomas Waddell Smith Jr. | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Maywood, IL 60153 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1740847243 | Naveen Sundar Rameshkumar | Internal Medicine | 2160 S 1st Ave Ste Ll34, Maywood, IL 60153-3328 | 2019-05-21 |
| 1285125328 | Simge Yuksel | Internal Medicine | 2160 South First Ave., Room 7609, Maywood, IL 60153 | 2018-05-24 |
| 1952805111 | Nicholas Brement | Internal Medicine | 2160 S. 1st Ave., Maywood, IL 60153 | 2018-03-22 |
| 1932504461 | Manfred Molina,md Inc. | Internal Medicine | 4433 Slauson Ave, Maywood, CA 90270-2931 | 2014-10-27 |
| 1235556671 | Dana Collin Johnson | Internal Medicine | 2160 S 1st Ave Rm 6292, Maywood, IL 60153-3328 | 2014-03-24 |
| 1316210990 | Ari Geliebter | Internal Medicine | 240 W Passaic St Ste 14, Maywood, NJ 07607-1264 | 2012-02-13 |
| 1407146640 | Asima Abbas Doriwala | Internal Medicine | 2160 S 1st Ave Rm 7609, Maywood, IL 60153-3328 | 2011-04-08 |
| 1912219254 | Michelle W Ha | Internal Medicine | 2160 S. First Avenue Rm 7609, Loyola University Medical Center Luh- North Entrance, Maywood, IL 60153-3328 | 2010-07-01 |
| 1790006138 | Meghan O'halloran | Internal Medicine | 2160 S 1st Ave Ofc 1011740, Gme, Maywood, IL 60153-3328 | 2010-06-21 |
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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.