Douglas Ryan Porter (NPI# 1205000239, PAC ID# 0345488565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1205000239 |
| PAC ID by PECOS | 0345488565 |
| Professional Enrollment ID | I20130530000220 |
| Full Name | Douglas Ryan Porter |
| Organization Legal Name | PACIFIC NEUROMONITORING ASSOCIATES INC |
| Address |
4215 Glencoe Ave Unit 305 Marina Del Rey CA 90292-4628 |
| Phone Number | 8884642466 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 1658433594 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420089 | EAST COOPER MEDICAL CENTER |
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| 420007 | SPARTANBURG MEDICAL CENTER |
| 450064 | TEXAS HEALTH ARLINGTON MEMORIAL HOSPITAL |
| 450672 | MEDICAL CITY FORT WORTH |
| Address | Phone | Organization |
|---|---|---|
| 5145 N California Ave, Chicago, IL 60625-3661 | 77387882005286 | SWEDISH COVENANT HEALTH |
| 6154 Belmont Ave, Dallas, TX 75214-3622 | 6153468182932 | RTNA PC |
| 227 5th Ave, Unit B, Kirkland, WA 98033-6120 | 6153468182932 | RTNA PC |
| 4215 Glencoe Ave, Unit 305, Marina Del Rey, CA 90292-4628 | 8884642466 | PACIFIC NEUROMONITORING ASSOCIATES INC |
| 10310 Wateridge Cir, Unit 266, San Diego, CA 92121-5728 | 8884642466 | PACIFIC NEUROMONITORING ASSOCIATES INC |
| 399 Knollwood Rd, Suite 108, White Plains, NY 10603-1916 | 9142668740 | T.V. SESHAN, M.D., P.C. |
| Organization Legal Name | PACIFIC NEUROMONITORING ASSOCIATES INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reza Kanani | Pediatric Medicine | Pacific Neuromonitoring Associates Inc | 23822 Bittern Ln, Laguna Niguel, CA 92677-1344 |
| Ankit Nayyar | General Practice | Pacific Neuromonitoring Associates Inc | 344 Hauser Blvd, 5 325, Los Angeles, CA 90036-3280 |
| Michelle M Mora | Neurology | Pacific Neuromonitoring Associates Inc | 10310 Wateridge Cir, Unit 266, San Diego, CA 92121-5728 |
| Forough Ghavami Shirehjini | Neurology | Pacific Neuromonitoring Associates Inc | 10310 Wateridge Cir, Unit 266, San Diego, CA 92121-5728 |
| Street Address |
4215 GLENCOE AVE UNIT 305 |
| City | MARINA DEL REY |
| State | CA |
| Zip | 90292-4628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nita Patel | Dermatology | 4560 Admiralty Wy, Suite 101, Marina Dl Rey, CA 90292-5424 | |
| Donald Buschmann | Family Medicine | Regents University of California Los Angeles | 4560 Admiralty Way, 100 Ucla Cpn Snta Monica, Marina Del Rey, CA 90292-5424 |
| Riquaza Zainul Zavahir | Internal Medicine | Regents University of California Los Angeles | 4560 Admiralty Way, 100 Ucla Cpn Snta Monica, Marina Del Rey, CA 90292-5424 |
| Jamie A Lipeles | Obstetrics/gynecology | 4560 Admiralty Way, Suite 105, Marina Del Rey, CA 90292-5424 | |
| Arielle R Mitton | Internal Medicine | The Regents of The University of California | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5424 |
| Anh Q Le | Family Medicine | The Regents of The University of California | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5424 |
| Tom Kuo | Emergency Medicine | Regents University of California Los Angeles | 4560 Admiralty Way, 100 Ucla Cpn Snta Monica, Marina Del Rey, CA 90292-5424 |
| Kirsten A Wiitala | Family Medicine | The Regents of The University of California | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5424 |
| Joanna M Skora | Internal Medicine | Uc Regents | 4560 Admiralty Way, Suite 100, Marina Del Rey, CA 90292-5424 |
| Megan Myers Detoy | Physician Assistant | Regents University of California Los Angeles | 4560 Admiralty Way, 100 Ucla Cpn Snta Monica, Marina Del Rey, CA 90292-5424 |
| Find all physicians in zip 90292 | |||
| City | MARINA DEL REY |
| Zip Code | 90292 |
| Specialty | NEUROLOGY |
| City + Specialty | MARINA DEL REY + NEUROLOGY |
Please comment or provide details below to improve the information on Douglas Ryan Porter.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.