JENNAE MARIE PORTER (NPI# 1811177231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811177231 |
| Entity Type | Individual |
| Full Name | JENNAE MARIE PORTER |
| Credential | PA-C |
| Practice Address |
8817 E Bell Rd Suite 101 Scottsdale AZ 85260-1588 |
| Mailing Address |
740 E Highland Ave Suite 101 Phoenix AZ 85014-3649 |
| Practice Telephone | 6022649044 |
| Practice Fax Number | 4805132322 |
| Mailing Telephone | 6022649044 |
| Mailing Fax Number | 6022640057 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3739 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8817 E BELL RD SUITE 101 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-1588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285273987 | Jaclyn Marie Schroeder | Physician Assistant | 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 | 2019-12-27 |
| 1982988655 | Shilo Gifford | Physician Assistant | 10617 N Hayden Rd Ste B102, Scottsdale, AZ 85260-5685 | 2011-09-29 |
| 1306148721 | Meredith Bohne Esner | Physician Assistant | 16427 N Scottsdale Rd Ste 100, Scottsdale, AZ 85254-8197 | 2010-11-18 |
| 1811224694 | Amy Beth Ingersoll | Physician Assistant | 6900 E Camelback Rd Ste 850, Scottsdale, AZ 85251-2443 | 2009-11-16 |
| 1265614275 | Scott Richard Owen | Physician Assistant | 7344 E Deer Valley Rd Ste 100, Scottsdale, AZ 85255-7456 | 2007-11-30 |
| 1487834099 | Melissa Faulk | Physician Assistant | 14010 N Northsight Blvd, Scottsdale, AZ 85260-3601 | 2007-11-12 |
| 1316086226 | Darren T West | Physician Assistant | 3302 N Miller Rd, Ste D, Scottsdale, AZ 85251-6400 | 2007-02-06 |
| 1548343247 | Larissa C. Franchuk | Physician Assistant | 8406 E Shea Blvd Ste 100, Scottsdale, AZ 85260-6659 | 2006-10-24 |
| 1811080468 | Gretchen F Post | Physician Assistant | 9913 N 95th Street, Scottsdale, AZ 85258 | 2006-10-02 |
| 1174584510 | Salvatore Zummo | Physician Assistant | 12305 E Lupine Ave, Scottsdale, AZ 85259-3302 | 2006-03-28 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on JENNAE MARIE 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.