David Porter (NPI# 1386139285, PAC ID# 4688922339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1386139285 |
PAC ID by PECOS | 4688922339 |
Professional Enrollment ID | I20180813001550 |
Full Name | David Porter |
Organization Legal Name | ST JOSEPHS HOSPITAL HEALTH CENTER |
Address |
302 Upton St East Syracuse NY 13057-2308 |
Phone Number | 3154370586 |
Gender | M |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9234043324 |
Number of Group Practice Members | 65 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330140 | ST JOSEPH'S HOSPITAL HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
302 Upton St, East Syracuse, NY 13057-2308 | 3154370586 | ST JOSEPHS HOSPITAL HEALTH CENTER |
301 Prospect Ave, Syracuse, NY 13203-1807 | ST JOSEPHS HOSPITAL HEALTH CENTER |
Organization Legal Name | ST JOSEPHS HOSPITAL HEALTH CENTER |
Physicians | 33 |
Name | Specialty | Organization | Address |
---|---|---|---|
Heather N Barnes | Nurse Practitioner | St Josephs Hospital Health Center | 321 Gifford St, Syracuse, NY 13204-3201 |
Emily M Glisson | Nurse Practitioner | St Josephs Hospital Health Center | 4000 Medical Ctr Dr, Fayetteville, NY 13066-6631 |
Katie Mcbeth | Clinical Social Worker | St Josephs Hospital Health Center | 742 James St, Suite 202, Syracuse, NY 13203-2017 |
Sunday O Asaju | Obstetrics/gynecology | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
Tafiea A Stokes | Nurse Practitioner | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
Maryellen C Lewis | Family Medicine | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
Jill Agne | Nurse Practitioner | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
Deann L Cummings | Family Medicine | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
Shannon K Spina | Nurse Practitioner | St Josephs Hospital Health Center | 301 Prospect Ave, Syracuse, NY 13203-1807 |
Shannon M Roach | Nurse Practitioner | St Josephs Hospital Health Center | 5100 W Taft Rd, Suite 1f North Syracuse Link Program, Liverpool, NY 13088-4868 |
Street Address |
302 UPTON ST |
City | EAST SYRACUSE |
State | NY |
Zip | 13057-2308 |
Name | Specialty | Organization | Address |
---|---|---|---|
Desta R Anthony | Nurse Practitioner | Loretto Rest Realty Corporation | 115 Creek Cir, East Syracuse, NY 13057-1369 |
Douglas Berkley Tucker | Internal Medicine | Loretto Rest Realty Corporation | 115 Creek Cir, East Syracuse, NY 13057-1369 |
Miles R Wiltse | Chiropractic | 6449 Kirkville Rd, East Syracuse, NY 13057-1600 | |
David M Girardi | Optometry | 824 Franklin Park Dr, East Syracuse, NY 13057-1614 | |
Mark Antosh | Obstetrics/gynecology | 824 Franklin Park Dr, East Syracuse, NY 13057-1642 | |
Bruce J Jones | Clinical Social Worker | 160 Watertree Dr, E Syracuse, NY 13057-1921 | |
Richard B Dixon | Chiropractic | 405 Kinne St, East Syracuse, NY 13057-2019 | |
Ryan L D Amico | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
Kathleen M Pyatak-hugar | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
Donal M Erickson | Podiatry | Ryan Damico Dpm Pllc | 7075 Manlius Ctr Rd, East Syracuse, NY 13057-2607 |
Find all physicians in zip 13057 |
City | EAST SYRACUSE |
Zip Code | 13057 |
Specialty | NURSE PRACTITIONER |
City + Specialty | EAST SYRACUSE + NURSE PRACTITIONER |
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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.