MR. MICHAEL SHAWN PORTER (NPI# 1992888770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992888770 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL SHAWN PORTER |
| Credential | ATC |
| Practice Address |
401 Susquehanna Ave Lock Haven University Lock Haven PA 17745 |
| Mailing Address |
268 Dry Run Rd Beech Creek PA 16822-8028 |
| Practice Telephone | 5708932197 |
| Mailing Telephone | 5707262295 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
RT-000866-A | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1437660347 | Michael Joseph Porter II | Chiropractor | 29100 Gateway Blvd Ste 100, Flat Rock, MI 48134-2764 | 2017-10-18 |
| 1194180208 | Michael Porter II | Registered Nurse | 2632a N Bartlett Ave, Milwaukee, WI 53211-3501 | 2015-12-17 |
| 1326468034 | Michael Angelo Porter Sr. | Counselor | 3648 S Bonita St., Spring Valley, CA 91977 | 2014-04-21 |
| 1023358694 | Michael Edgar Porter | Counselor | 57 South Main, Loa, UT 84747 | 2013-02-19 |
| 1437438934 | Michael Porter | Counselor | 790 Frank Cochran Dr Ste 111, Hinesville, GA 31313-3991 | 2011-08-15 |
| 1316240658 | Michael Porter | Social Worker | 900 Cummings Ctr Ste 416t, Beverly, MA 01915-6184 | 2010-12-08 |
| 1851541270 | Michael Lawrence Porter | Physician Assistant | 6752 Brittany Park Ct, North Richland Hills, TX 76182-3823 | 2008-09-22 |
| 1588747695 | Michael Lewis Porter | Pharmacist | 1337a S Irby St, Florence, SC 29505 | 2006-10-23 |
| 1255327086 | Michael Robert-reece Porter | Pharmacist | 900 S Auburn St, Kennewick, WA 99336-5621 | 2005-09-27 |
| Street Address |
401 SUSQUEHANNA AVE LOCK HAVEN UNIVERSITY |
| City | LOCK HAVEN |
| State | PA |
| Zip Code | 17745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760012587 | Clinton County Community Connections Inc | Clinic/Center | 10 N Washington Street, Lock Haven, PA 17745 | 2020-01-21 |
| 1740759539 | Jason Michael Niederriter | Pharmacist | 313-337 West Bald Eagle Street, Lock Haven, PA 17745 | 2018-11-21 |
| 1194240879 | Rene Pacificador Villegas | Physical Therapist | 502 East Howard St., Bellefonte, PA 17745 | 2017-08-03 |
| 1497101638 | Drew Ryan | Student in an Organized Health Care Education/Training Program | 15 Cochise Trail, Lock Haven, PA 17745 | 2016-05-06 |
| 1861766644 | Thomas John Ciuchta | Dentist | 44 E. Church Street, Lock Haven, PA 17745 | 2012-02-27 |
| 1497085021 | Abby Lynn Brown | Social Worker | 206 East Water Street, Lock Haven, PA 17745 | 2010-01-04 |
| 1093976482 | Infant Development Program Inc | Early Intervention Provider Agency | 980 East Water St, Lock Haven, PA 17745 | 2008-06-19 |
| 1073635769 | Richard Lee Powers II | Dentist | 525 High Street, Lock Haven, PA 17745 | 2007-04-04 |
| 1184792863 | Shailendra Nath Kapoor | Urology | 214 High Street, Flemington, PA 17745 | 2006-12-01 |
| 1629156054 | Samuel R Rockey Dmd PC | Dentist | 320 E Water St, Lock Haven, PA 17745 | 2006-11-02 |
| Find all providers in zip 17745 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359824 | Lauren Damiano | Specialist/Technologist | 735 Bellefonte Ave Unit 2, Lock Haven, PA 17745-2404 | 2020-09-02 |
| 1114531753 | Alivia Braunbeck | Specialist/Technologist | 120 W Main St Apt 6, Lock Haven, PA 17745-1245 | 2020-09-01 |
| 1568976637 | Holly Anne Shoemaker | Specialist/Technologist | 515 Bellefonte Ave, Lock Haven, PA 17745-1907 | 2017-11-27 |
| 1598172462 | Kathryn M Weaver | Specialist/Technologist | 108 1/2 Bellefonte Ave, Lock Haven, PA 17745-1914 | 2014-07-12 |
| 1295779221 | Yvette M Ingram | Specialist/Technologist | 115 Willis Health Professions Building, Lock Haven University, Lock Haven, PA 17745-1212 | 2006-06-16 |
| 1982675120 | Elissa Marie Delio | Specialist/Technologist | 401 N Fairview St, Lock Haven University, Lock Haven, PA 17745-2342 | 2006-01-27 |
| 1598362873 | Kristy Dao | Specialist/Technologist | 401 N Fairview St, Lock Haven, PA 17745-2342 | 2020-10-08 |
| 1699389304 | Leslie Anne Moose | Specialist/Technologist | 401 N Fairview St, Lock Haven, PA 17745-2342 | 2020-09-01 |
| 1336753904 | Alexandra Jae Massari | Specialist/Technologist | 401 N Fairview St, Lock Haven, PA 17745-2390 | 2020-09-01 |
| 1710519897 | Alex Cole Miller | Specialist/Technologist | 401 N Fairview St, Lock Haven, PA 17745-2390 | 2020-02-06 |
| Find all providers in LOCK HAVEN | ||||
| City | LOCK HAVEN |
| Zip Code | 17745 |
Please comment or provide details below to improve the information on MR. MICHAEL SHAWN 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.