THEODORE B PORTER (NPI# 1689672479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689672479 |
| Entity Type | Individual |
| Full Name | THEODORE B PORTER |
| Credential | D.O. |
| Practice Address |
1413 W Moyamensing Ave 1st Floor Philadelphia PA 19145-4625 |
| Practice Telephone | 2676392555 |
| Practice Fax Number | 2676392632 |
| Mailing Telephone | 2676392555 |
| Mailing Fax Number | 2676392632 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-03-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS003735L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518188184 | Theodore William Porter | Pharmacist | 3000 E Fletcher Ave, Tampa, LA 33613 | 2007-05-01 |
| Street Address |
1413 W MOYAMENSING AVE 1ST FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974012 | Chertow Orthopaedics and Sports Medicine | Orthopaedic Surgery | 1413 W Moyamensing Ave, Philadelphia, PA 19145-4625 | 2017-10-24 |
| 1679011340 | William Metz | Physical Therapist | 1413 W Moyamensing Ave, Lower Level, Philadelphia, PA 19145-4625 | 2017-02-02 |
| 1669845608 | Comprehensive Medical Supplies | Durable Medical Equipment & Medical Supplies | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2015-11-12 |
| 1043628308 | Physicians Billing and Collection Services, Inc | Internal Medicine | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2014-07-30 |
| 1396164695 | Komal Patel | Physical Therapist | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2014-04-15 |
| 1851735302 | Theodore B Porter, Do, PC | Family Medicine | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2013-04-26 |
| 1891052528 | Stephen Joseph Capella | Physical Therapist | 1413 W Moyamensing Ave, Philadelphia, PA 19145-4625 | 2012-04-19 |
| 1619279825 | Premier Physical Therapy, P.C. | Clinic/Center | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2010-11-19 |
| 1942316195 | Catalyst Physical Therapy and Wellness Center, Inc. | Clinic/Center | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | 2006-08-21 |
| 1003829219 | Carl C Contino | Physical Therapist | 1413 W Moyamensing Ave, Philadelphia, PA 19145-4625 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| 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 |
|---|---|---|---|---|
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| 1225648140 | Action Health Centers Inc | Family Medicine | 1006 W Lehigh Ave Ste 200, Philadelphia, PA 19133-1640 | 2020-08-05 |
| 1285289876 | Visiting Doctors Inc | Family Medicine | 2338 S Broad St Ste 1, Philadelphia, PA 19145-4450 | 2019-08-09 |
| 1770137218 | Health Care At Northeast Philadelphia LLC | Family Medicine | 3353 Cottman Avenue, Philadelphia, PA 19149-1603 | 2019-08-01 |
| 1679131585 | Aria Health Physician Services | Family Medicine | 3998 Red Lion Rd Ste 204, Philadelphia, PA 19114-1440 | 2019-06-05 |
| 1689232597 | Aria Health Physician Services | Family Medicine | 5000 Frankford Ave Ste 1, Philadelphia, PA 19124-2620 | 2019-06-05 |
| 1174096432 | Temple University of The Commonwealth System of Higher Education | Family Medicine | 2300 W Master St Ste 109b, Philadelphia, PA 19121-4739 | 2019-01-09 |
| 1679043152 | Prevention Point Philadelphia | Family Medicine | 2913-15 Kensington Ave, Philadelphia, PA 19134-3016 | 2018-11-28 |
| 1700362266 | Wes Corporation | Family Medicine | 5000 N 13th St, Philadelphia, PA 19141-3533 | 2018-07-17 |
| 1376046508 | Philly Medical and Rehab Associates | Family Medicine | 6401 Rising Sun Ave, Philadelphia, PA 19111-5228 | 2018-03-14 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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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.