JEFFREY PORTER (NPI# 1477901023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477901023 |
| Entity Type | Individual |
| Full Name | JEFFREY PORTER |
| Practice Address |
5325 Faraon St Saint Joseph MO 64506-3488 |
| Practice Telephone | 8162716350 |
| Practice Fax Number | 8162716753 |
| Mailing Telephone | 8162716350 |
| Mailing Fax Number | 8162716753 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2010000185 | MO | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2016019080 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780696658 | Jeffrey D Porter | Chiropractor | 919 N Dysart Rd, Avondale, AZ 85323-1711 | 2006-08-12 |
| 1801135165 | Jeffrey Torrelle Porter | Counselor | 2711 W 15th St, Panama City, FL 32401-1366 | 2013-02-06 |
| 1194022046 | Jeffrey S Porter | Nurse Practitioner | 5200 Centre Ave, Pittsburgh, PA 15232-1300 | 2011-02-11 |
| 1043488901 | Jeffrey Lee Porter | Dentist | 201 Bridge Park Drive, Charlevoix, MI 49720-1381 | 2008-02-13 |
| 1982747507 | Jeffrey Scott Porter | Optometrist | 1205 S Il Route 31, Crystal Lake, IL 60014-8213 | 2007-02-14 |
| 1033261813 | Jeffrey Lynn Porter | Specialist/Technologist | 755 Hank Aaron Dr Sw, Atlanta, GA 30315-1120 | 2007-01-18 |
| 1588633366 | Jeffrey F. Porter | Psychologist | 145 Michigan St Ne Ste 3100, Grand Rapids, MI 49503-2563 | 2006-03-15 |
| 1164496345 | Jeffrey Sam Porter | Emergency Medicine | 523 N 3rd St, Brainerd, MN 56401-3054 | 2006-02-15 |
| Street Address |
5325 FARAON ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261795 | Brian J Robb | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2005-08-09 |
| 1154943991 | Claire Christine Gregson | Registered Nurse | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-05-14 |
| 1982239349 | Kaylee Messner | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-03-05 |
| 1760016554 | Nicole Elizabeth Cordonnier | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-03-02 |
| 1689211609 | Beulah Joshua | Family Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-12-09 |
| 1003452889 | Kevin Baer | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-27 |
| 1265076269 | Kia Whetstine | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-01 |
| 1962052001 | Brynde Janea Thomas | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-09-19 |
| 1073171039 | Rodger Alan Oren | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| 1548828528 | Samantha Jo Shuey | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295066348 | Magdaline Martinez | Nurse Anesthetist, Certified Registered | 1234 Napier Ave # 32, Saint Joseph, MI 49085-2112 | 2010-01-28 |
| 1265478242 | Susan Klosterman-finke | Nurse Anesthetist, Certified Registered | 4301 Rainbow Ct, Saint Joseph, MO 64506-3601 | 2006-06-20 |
| 1598305641 | Lakeland Hospitals At Niles and St Joseph, Inc | Nurse Anesthetist, Certified Registered | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2020-01-07 |
| 1073171039 | Rodger Alan Oren | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| 1548828528 | Samantha Jo Shuey | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| 1972169688 | Jane Shaw | Nurse Anesthetist, Certified Registered | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2019-05-17 |
| 1548709215 | John Sordyl Iv | Nurse Anesthetist, Certified Registered | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2017-02-15 |
| 1255781019 | Lakeshore Anesthesia Staffing LLC | Nurse Anesthetist, Certified Registered | 2848 Niles Rd, Saint Joseph, MI 49085-3352 | 2016-06-13 |
| 1285015560 | Lenser Ochieng | Nurse Anesthetist, Certified Registered | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2015-06-12 |
| 1295124428 | Amy L Saylor | Nurse Anesthetist, Certified Registered | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2015-01-12 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
Please comment or provide details below to improve the information on JEFFREY PORTER.
| 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.