MR. JEFFREY D PORTER (NPI# 1780696658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780696658 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY D PORTER |
| Other Name | JEFFREY D PORTER |
| Credential | D.O |
| Practice Address |
919 N Dysart Rd Avondale AZ 85323-1711 |
| Practice Telephone | 6238822121 |
| Practice Fax Number | 6238822123 |
| Mailing Telephone | 6238822121 |
| Mailing Fax Number | 6238822123 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 7252 | AZ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477901023 | Jeffrey Porter | Registered Nurse | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2016-05-24 |
| 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 |
919 N DYSART RD |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952676207 | Fenix Group, LLC | Day Training, Developmentally Disabled Services | 919 N Dysart Rd, Ste V, Avondale, AZ 85323-1711 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548660202 | Cory Robert Simons | Chiropractor | 10320 W Mcdowell Rd Ste A1004, Avondale, AZ 85392-4865 | 2014-09-01 |
| 1164715421 | Ck Healthcare LLC | Chiropractor | 12409 W Indian School Rd Suite B-210, Avondale, AZ 85323 | 2011-05-19 |
| 1255643623 | American Family Chiropractic & Rehab of Avondale LLC | Chiropractor | 210 N Avondale Blvd, Suite 100, Avondale, AZ 85323-6905 | 2010-07-13 |
| 1912233016 | Robert Charles Anderson | Chiropractor | 12234 W Cambridge Ave, Avondale, AZ 85392-5519 | 2009-10-23 |
| 1801120324 | Brandon Schultz | Chiropractor | 2943 Ne Walnut Rd, Avondale, MO 64117-2447 | 2009-09-30 |
| 1821249665 | Lauren Ann Hedrix | Chiropractor | 13055 W Mcdowell Rd Ste G104, Avondale, AZ 85392 | 2008-10-09 |
| 1326214420 | Avondale Chiropractic P.C. | Chiropractor | 417 Pennsylvania Ave, Avondale, PA 19311-0297 | 2008-05-08 |
| 1790968915 | Rusick Chiropractic, LLC | Chiropractor | 10320 W Mcdowell Rd Ste M1341, Avondale, AZ 85392-4878 | 2007-12-11 |
| 1235323411 | Patricia M Flynn | Chiropractor | 13050 W Rancho Santa Fe Blvd, Suite B-5, Avondale, AZ 85392-1756 | 2007-08-30 |
| 1932319175 | Porter Chiropractic Center LLC. | Chiropractor | 919 N Dysart Rd Ste C, Avondale, AZ 85323-1711 | 2007-05-23 |
| Find all providers in AVONDALE | ||||
Please comment or provide details below to improve the information on MR. JEFFREY D 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.