ANGEL PORTER (NPI# 1558562629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558562629 |
| Entity Type | Individual |
| Full Name | ANGEL PORTER |
| Credential | PA |
| Practice Address |
3303 Fern Valley Rd Louisville KY 40213-3529 |
| Mailing Address |
Po Box 950248 Louisville KY 40295-0248 |
| Practice Telephone | 5029644889 |
| Mailing Telephone | 5024895730 |
| Mailing Fax Number | 5024895753 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2015-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
PA637 | KY | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA637 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PA LICENSE | PA637 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295246783 | Angel Nicole Porter | Counselor | 2444 Commerce Rd Ste 219-220, Jacksonville, NC 28546-7560 | 2017-10-24 |
| 1578889572 | Angel M Porter | Registered Nurse | 9191 Pinecroft Dr, Suite 150, Shenandoah, TX 77380-2796 | 2010-04-15 |
| Street Address |
3303 FERN VALLEY RD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40213-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560512 | Daniel Joseph Callan | Family Medicine | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2005-07-06 |
| 1114489770 | Dena Kaye Mullin | Physical Therapist | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2019-04-03 |
| 1417371691 | Stacey Sale | Physician Assistant | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2014-02-10 |
| 1669819470 | Sharon R Bell | Nurse Practitioner | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2013-06-03 |
| 1265721450 | Baptist Community Health Services, Inc. | Clinic/Center | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2011-03-29 |
| 1396919585 | Elmang Njabou Nchako | Preventive Medicine | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2008-04-17 |
| 1871650101 | Michael W Newkirk | Family Medicine | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2007-01-03 |
| 1528122991 | Craig T Smith | Physical Therapist | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2006-12-20 |
| 1043374556 | Sarah Elizabeth Gold | Physical Therapist | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2006-12-20 |
| 1881700771 | Randall E Case Jr. | Physical Therapist | 3303 Fern Valley Rd, Louisville, KY 40213-3529 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487130076 | Latonia Cheeks | Counselor | 4835 Poplar Level Rd Ste. 110, Louisville, KY 40213 | 2018-07-17 |
| 1225553431 | Kandace Ratterman | Case Manager/Care Coordinator | 4814 Kingfisher Way, Louisville, KY 40213 | 2017-08-08 |
| 1700338456 | Ann Devos | Physician Assistant | 3303 Fern Valley Road, Louisville, KY 40213 | 2016-10-28 |
| 1124426275 | Rebecca Sue Jenkins | Home Health Aide | 3523 Whippoorwill Rd, Louisville, KY 40213 | 2014-12-05 |
| 1053518308 | Gabor Ambrus | Pathology | 4500 Conaem Drive, Louisville, KY 40213 | 2007-06-29 |
| 1760504724 | Benjamin Francis Robinson | Chiropractor | 4919h Dixie Highway, Louisville, KY 40213 | 2007-04-03 |
| 1790814408 | Howard L Green | Dentist | 3813 Poplar Level Rd, Louisville, KY 40213 | 2007-03-06 |
| 1063587970 | Roy Hyman | Optometrist | 5202 Preston Hwy, Louisville, KY 40213 | 2006-11-24 |
| 1689769291 | James H Kidwell | Psychologist | 1448 Gardiner Lane, Suite 202 203, Louisville, KY 40213 | 2006-10-03 |
| 1366556524 | Harris & Harris Dmd Psc | Dentist | 5014 Preston Hwy, #b, Louisville, KY 40213 | 2006-08-17 |
| Find all providers in zip 40213 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1184247231 | Jeremiah Noe | Physician Assistant | 3999 Dutchmans Ln Ste 2e, Louisville, KY 40207-4748 | 2020-05-23 |
| 1598388894 | Amanda Marie Hafner | Physician Assistant | 200 E Chestnut St Bldg Suite300, Louisville, KY 40202-1831 | 2020-05-20 |
| 1205487170 | Kenneth D Morrison | Physician Assistant | 9300 Stonestreet Rd Ste 200, Louisville, KY 40272-2894 | 2019-09-23 |
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1760955546 | Benjamin Charles Askins | Physician Assistant | 7906 New La Grange Rd, Louisville, KY 40222-4718 | 2019-01-04 |
| 1770066292 | Molly Roberson Comprehensive Surgical Assistance Pllc | Physician Assistant | 1064 Eastern Pkwy, Louisville, KY 40217-1532 | 2018-09-11 |
| 1598246860 | Kelsi J Barnes | Physician Assistant | 13151 Magisterial Dr # 200, Louisville, KY 40223-4103 | 2018-08-24 |
| 1174009930 | Faun Ellwood-digel | Physician Assistant | 275 W Walnut St, Louisville, CO 80027-2295 | 2018-07-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40213 |
Please comment or provide details below to improve the information on ANGEL 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.