Matthew T Porter (NPI# 1477791606, PAC ID# 4880827252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1477791606 |
PAC ID by PECOS | 4880827252 |
Professional Enrollment ID | I20161018002934 |
Full Name | Matthew T Porter |
Address |
1050 W 10th St Suite 480 Rolla MO 65401-2905 |
Gender | M |
Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
Graduation Year | 2009 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260017 | PHELPS COUNTY REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1050 W 10th St, Suite 480, Rolla, MO 65401-2905 |
Street Address |
1050 W 10TH ST SUITE 480 |
City | ROLLA |
State | MO |
Zip | 65401-2905 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel Amos Leon Becerril | Urology | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Alan D Heincker | Orthopedic Surgery | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Miriam L Stricklan | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Steven R Ballard | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Denis D Asiimwe | Hospitalist | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Hala Samman | Sleep Medicine | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Nurelign Gashu Abebe | Nephrology | Pcrmc Medical Group, Inc | 1050 W 10th St, Suite 510, Rolla, MO 65401-2905 |
Susan Toebben | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Sandy R Marshall | Nurse Practitioner | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Rachelle L Gorrell | Family Medicine | Pcrmc Medical Group, Inc | 1050 W 10th St, Rolla, MO 65401-2905 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Bohdan A Lebedowicz | Internal Medicine | Pcrmc Medical Group, Inc | 1800 White Columns Dr, Rolla Manor Care, Rolla, MO 65401-2044 |
Sean L Harris | Nurse Practitioner | South Central Missouri Community Health Center | 1081 E 18th St, Rolla, MO 65401-2448 |
Sharon Renee Anderson | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
Dixie Fox | Podiatry | Mid-missouri Foot and Ankle Center | 1210 Homelife Plz, Rolla, MO 65401-2512 |
Tim M Rhoads | Chiropractic | 1201 C Forum Dr, Rolla, MO 65401-2587 | |
Jacob G Heaberlin | Chiropractic | 1201 Forum Dr, Suite B, Rolla, MO 65401-2587 | |
Vernon Edward Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
David E Falkenhain | Optometry | V.e. Falkenhain O.d. and Associates PC | 1001 N Pine St, Rolla, MO 65401-2824 |
Amy E Torres | Nurse Practitioner | Pcrmc Medical Group, Inc | 1000 W 10th St, Rolla, MO 65401-2905 |
Jinna M Lisenbe | Nurse Practitioner | Pcrmc Medical Group, Inc | 1060 W 10th St, Delbert Day Cancer Inst, Rolla, MO 65401-2905 |
Find all physicians in zip 65401 |
City | ROLLA |
Zip Code | 65401 |
Specialty | FAMILY MEDICINE |
City + Specialty | ROLLA + FAMILY MEDICINE |
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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.