WILLIAM E PORTER (NPI# 1336156165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336156165 |
| Entity Type | Individual |
| Full Name | WILLIAM E PORTER |
| Credential | M.D. |
| Practice Address |
3755 Sixes Rd Suite 202 Canton GA 30114-7842 |
| Practice Telephone | 7707201880 |
| Practice Fax Number | 7707047162 |
| Mailing Telephone | 7707201880 |
| Mailing Fax Number | 7707047162 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 045919 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 045919 | 01 |
| GA | BCBS ID NUMBER | 955267 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245569656 | William Wales Porter | Psychologist | 967 Fillmore St, Denver, CO 80206-3851 | 2009-12-14 |
| 1265647051 | William Ralph Porter Jr. | Optometrist | 12208 Pines Blvd, Pembroke Pines, FL 33026-4126 | 2007-05-14 |
| 1508991613 | William Harris Porter | Psychologist | 307 W Monroe St, Mt Pleasant, IA 52641-2112 | 2007-02-22 |
| 1356364921 | William Daniel Porter | Preventive Medicine | Hqs, 1st Cavalry Division, Bldg 28000, Fort Hood, TX 76544 | 2006-07-25 |
| 1073569141 | William Richard Porter | Internal Medicine | 709 Del Prado Blvd, Suite 9, Cape Coral, FL 33990 | 2006-05-26 |
| 1548246911 | William Harrison Porter | Family Medicine | 61 Pine St Bldg 4, Bristol, VT 05443-1043 | 2005-12-19 |
| 1750380549 | William E Porter | Obstetrics & Gynecology | 6324 Fairview Rd, Suite 390, Charlotte, NC 28210-3271 | 2005-07-14 |
| 1578561056 | William A Porter | Dentist | 1880 Lancaster Dr Ne, Suite 104, Salem, OR 97305-1089 | 2005-07-08 |
| 1134748858 | William John Porter Iv | Psychiatry & Neurology | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2020-04-13 |
| 1366079139 | William Scott Porter | Pediatrics | 4800 Sand Point Way Ne # Oc.7830, Seattle, WA 98105-3901 | 2020-03-23 |
| Street Address |
3755 SIXES RD SUITE 202 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-7842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639100480 | Jeffrey Allen Donohue | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2006-07-06 |
| 1104230366 | Nathan Michael Kaller | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2014-06-16 |
| 1346593316 | Wellstar Medical Group, LLC | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2012-10-16 |
| 1912138264 | Marie Hagood Mulkey | Nurse Practitioner | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2009-08-04 |
| 1962678425 | Gerald A Smith | Dentist | 3755 Sixes Rd, Suite 200, Canton, GA 30114-7842 | 2008-05-05 |
| 1841471273 | Bridgemill Family Medical Associates, PC | Family Medicine | 3755 Sixes Rd, Suite 202, Canton, GA 30114-7842 | 2007-11-14 |
| 1871666404 | Christina Daniels Tyler | Family Medicine | 3755 Sixes Rd, Suite 100, Canton, GA 30114 | 2006-11-15 |
| 1134216898 | Scott Vidar Merritt | Dentist | 3755 Sixes Rd, Ste 100, Canton, GA 30114-7842 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1417571142 | K Loor Medical LLC | Family Medicine | 1750 Marietta Hwy Ste 250, Canton, GA 30114-8388 | 2020-05-28 |
| 1336762913 | Favor Family Medical Practice | Family Medicine | 103 Mountain Brook Dr Ste 100, Canton, GA 30115-9078 | 2020-05-18 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1073012118 | Mea Primary Care Plus LLC | Family Medicine | 112 Southlake Cir, Canton, MS 39046-5368 | 2018-02-05 |
| 1629592175 | Healthy U Academy, LLC | Family Medicine | 1226 Market Ave N, Canton, OH 44714-2604 | 2017-07-26 |
| 1629508114 | Zeinab M Makki | Family Medicine | 7330 N Canton Center Rd Ste 111, Canton, MI 48187-1538 | 2017-06-15 |
| 1366805210 | Michael Wowk | Family Medicine | 1600 S Canton Center Rd Ste 220, Canton, MI 48188-6276 | 2016-03-29 |
| 1184036832 | Courtney Weaver | Family Medicine | 15 Reinhardt College Pkwy Ste 100, Canton, GA 30114-5259 | 2014-05-29 |
| Find all providers in CANTON | ||||
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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.