CHAD THOMAS PORTER (NPI# 1669652665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669652665 |
Entity Type | Individual |
Full Name | CHAD THOMAS PORTER |
Credential | M.D. |
Practice Address |
2106 Loop Rd Winnsboro LA 71295-3344 |
Mailing Address |
6 Paloma Bend Place Woodlands TX 77389 |
Practice Telephone | 3184359411 |
Mailing Telephone | 7138187481 |
Enumeration Date | 2007-11-07 |
Last Update Date | 2019-01-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
P1211 | TX | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.201618 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | DEA | FP0656097 | 01 |
TAXONOMY | 2085R0202X | 01 | |
LA | 1217077 | 05 | |
LA | CDS | 35010 | 01 |
LA | 1669652665 | NPI | 01 |
LA | LICENSE | 201618 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477082048 | Chad Michael Porter | Chiropractor | 529 E Main St, Bridgeport, WV 26330-1824 | 2017-06-07 |
1649590308 | Chad Michael Porter | Social Worker | 8100 W Emerald St, Suite 150, Boise, ID 83704-9055 | 2010-06-04 |
Street Address |
2106 LOOP RD |
City | WINNSBORO |
State | LA |
Zip Code | 71295-3344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902806870 | Clemens E Soeller Sr. | Orthopaedic Surgery | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2005-07-21 |
1053922674 | Samantha J Wood | Nurse Practitioner | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2020-08-17 |
1891320487 | Noland Allen Bullen | Physical Therapist | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2020-03-04 |
1104476829 | Sally Brooks | Nurse Practitioner | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2019-09-14 |
1518511914 | Gerald Onate | Physical Therapist | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2019-07-25 |
1760958821 | Leanne Myers | Registered Nurse | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-10-16 |
1760978449 | Emily Diane Pruitt | Nurse Practitioner | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-07-06 |
1306340021 | Amy Glenn | Physical Therapist | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-03-19 |
1619479888 | Alexandra Cooper Berry | Family Medicine | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-03-05 |
1578093464 | Sheila Jones | Occupational Therapy Assistant | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2017-06-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
Find all providers in zip 71295 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639346174 | Ralph Abraham IIi | Radiology | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2008-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447726518 | Avail Lc Radiology LLC | Radiology | 3730 Nelson Rd, Lake Charles, LA 70605-2412 | 2018-10-16 |
1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
1801393590 | Sterling Spine, LLC | Radiology | 708 N Ashley Ridge Loop Ste 400, Shreveport, LA 71106-7234 | 2018-04-09 |
1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
1366977092 | John-paul Grenier | Radiology | 800 Old Metairie Dr, Metairie, LA 70001-6095 | 2017-05-01 |
1588023980 | Louisiana Diagnostic and Imaging | Radiology | 5633 Cormier Rd, Vinton, LA 70668-6316 | 2016-02-15 |
1285020800 | Noah Mcgill | Radiology | 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403-7040 | 2015-04-09 |
1457790255 | Sulphur Healthcare Partners | Radiology | 3649 S Beglis Pkwy, Sulphur, LA 70665-8107 | 2013-06-14 |
1013250703 | Paul Jude Sibille | Radiology | 1240 Highway 761, Church Point, LA 70525-7527 | 2013-04-01 |
1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
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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.