DR. ANGELA M PORTER (NPI# 1578561015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578561015 |
Entity Type | Individual |
Full Name | DR. ANGELA M PORTER |
Credential | MD |
Practice Address |
46156 Woodward Ave Suite B Pontiac MI 48342-5033 |
Mailing Address |
6820 Oyster Cv West Bloomfield MI 48323-2051 |
Practice Telephone | 2483226747 |
Practice Fax Number | 2483223071 |
Mailing Telephone | 3133330620 |
Mailing Fax Number | 2483223071 |
Enumeration Date | 2005-07-08 |
Last Update Date | 2017-02-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | AP064427 | MI | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 4301064427 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4483390 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598371098 | Angela Ruth Porter | Nurse Practitioner | 333 Huxley Rd, Knoxville, TN 37922-3115 | 2020-09-20 |
1417503277 | Angela Marie Porter | Social Worker | 7400 Metro Blvd # 100-7, Minneapolis, MN 55439-2316 | 2019-08-16 |
1225103823 | Angela Gayle Porter | Chore Provider | 1122 Boren Blvd, Apt. E, Wheelersburg, OH 45694-9251 | 2006-11-21 |
1336609973 | Angela Lynn Porter | Registered Nurse | 15 Frederick Ave, Akron, OH 44310-2904 | 2019-03-20 |
1750857645 | Angela Porter | Case Manager/Care Coordinator | 10025 W Markham St Ste 210, Little Rock, AR 72205-2178 | 2018-10-17 |
1467932236 | Angela Marie Porter | Occupational Therapist | 10800 Flora Mae Meadows Rd, Houston, TX 77089-5974 | 2018-08-20 |
1760834097 | Angela Porter | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2016-07-11 |
1578904801 | Angela Gabriel Porter | Counselor | 1820 Scenic Ave, Berkeley, CA 94709-1324 | 2013-07-15 |
1811240294 | Angela Monique Porter | Counselor | 540 Chama St Ne, Albuquerque, NM 87108 | 2012-10-22 |
1649459603 | Angela Gilland Porter | Pharmacist | 7979 Wurzbach Rd, G354 Mail Code 8222, San Antonio, TX 78229-4427 | 2007-10-26 |
Street Address |
46156 WOODWARD AVE SUITE B |
City | PONTIAC |
State | MI |
Zip Code | 48342-5033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235651381 | The Wellness Plan Medical Centers | Family Medicine | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2017-07-11 |
1245775683 | Erinma Onyekachi Ezeugwa | Nurse Practitioner | 46156 Woodward Ave, Pontiac, MI 48342-5033 | 2016-12-20 |
1780601740 | Oakland Primary Health Services, Inc. | Clinic/Center | 46156 Woodward Ave, Suite B, Pontiac, MI 48342-5033 | 2006-07-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
Find all providers in zip 48342 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962062539 | Healthcare Alliance Pllc | General Practice | 35 S Johnson St Ste 1b, Pontiac, MI 48341-1660 | 2019-06-17 |
1922449776 | Dr. David Basch & Dr. Alan Widlansky, Pllc Dba Dna Medical Center | General Practice | 486 W Huron St, Pontiac, MI 48341-1602 | 2013-07-09 |
1861765695 | Us Healthcare Mi, PC | General Practice | 461 W Huron St Ste 600, Pontiac, MI 48341-1601 | 2012-02-09 |
1245546415 | Express Health PC | General Practice | 461 W Huron St Ste 605, Pontiac, MI 48341-1601 | 2010-08-26 |
1851619464 | Rtc Enterprise, Inc. | General Practice | 1425 Giddings Rd, Pontiac, MI 48340-2111 | 2010-05-06 |
1407942394 | Perry Mlk Medical Center P.C. | General Practice | 673 Martin Luther King Jr Blvd N, Pontiac, MI 48342-1627 | 2006-10-05 |
1861409302 | Bryan K Swilley | General Practice | 673 Mlk Blvd N, Pontiac, MI 48342 | 2006-08-01 |
1699114926 | Samer Sami Kannab Aida | General Practice | 50 N Perry St, Pontiac, MI 48342-2217 | 2013-06-19 |
1922265982 | Adnan Matta Md PC | General Practice | 44555 Woodward, #106, Pontiac, MI 48341 | 2008-05-19 |
1598951931 | Community Bridges Management, Inc. | General Practice | 31 Oakland Ave, 1st Floor, Suite E, Pontiac, MI 48342-2019 | 2007-09-19 |
Find all providers in PONTIAC |
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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.