MRS. LULA G. PORTER


Address: 4666 Radnor Road, Indianapolis, IN 46226-2154
Phone: 3175477669

MRS. LULA G. PORTER (NPI# 1780777177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780777177
Entity Type Individual
Full Name MRS. LULA G. PORTER
Other Name DR. LULA G. GRIFFIN
Credential M.D.
Practice Address 4666 Radnor Road
Indianapolis
IN 46226-2154
Practice Telephone 3175477669
Practice Fax Number 3172404357
Mailing Telephone 3175477669
Mailing Fax Number 3172404357
Enumeration Date 2006-09-30
Last Update Date 2015-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
01019700A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 20032340 05

Office Location

Street Address 4666 RADNOR ROAD
City INDIANAPOLIS
State IN
Zip Code 46226-2154

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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

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1588122162 Physician Solutions Family Medicine 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 2019-03-04
1689053290 Erin Ray Family Medicine 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 2015-05-28
1548596372 Grace Divine, LLC Family Medicine 5256 E 65th St, Indianapolis, IN 46220-4819 2009-10-29
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1962822106 Patient Care Services Team Family Medicine 939 Conner St Ste 200, Noblesville, IN 46060-2622 2014-04-25
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1932304417 George W Merkle Md PC Family Medicine 360 N Main St Ste A, Bluffton, IN 46714-2041 2007-06-15
1891871026 Mohammad A Rahmany Family Medicine 2914 Highway Ave, Highland, IN 46322-1656 2006-10-31
1194775569 Bruce Everette Burton Family Medicine 1263 Hospital Drive Nw, Suite 240, Corydon, IN 47112-2172 2006-05-10
1003887498 Harry Stoller Family Medicine 18444 Madison Rd, South Bend, IN 46614-9799 2006-02-01
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Competitor

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City INDIANAPOLIS
Zip Code 46226

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Dataset Information

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.

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