Thomas P Porter (NPI# 1023094141, PAC ID# 7618007618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1023094141 |
PAC ID by PECOS | 7618007618 |
Professional Enrollment ID | I20100618000227 |
Full Name | Thomas P Porter |
Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
Address |
13640 N Plaza Del Rio Blvd Peoria AZ 85381-4846 |
Phone Number | 6238763800 |
Gender | M |
Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 6406020155 |
Number of Group Practice Members | 148 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
030088 | BANNER BAYWOOD MEDICAL CENTER |
280013 | THE NEBRASKA MEDICAL CENTER |
030122 | BANNER GATEWAY MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 | 6238763800 | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
Organization Legal Name | BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC |
Physicians | 129 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly Koike | Family Medicine | Banner Primary Care Physicians Arizona LLC | 4720 E Greenway Rd, Phoenix, AZ 85032-4355 |
Angela Do Feng | Family Medicine | Banner Primary Care Physicians Arizona LLC | 1950 S Country Club Dr, Suite 101, Mesa, AZ 85210-6044 |
Swathi Ponnathota | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 1811 E Mcmurray Blvd, Casa Grande, AZ 85122-5404 |
Deborah L Mcgarry | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 1917 S Crismon Rd, Mesa, AZ 85209-6216 |
Esther Kamau | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 20751 W Market St, Buckeye, AZ 85396-7893 |
William N Bottomley | Family Medicine | Banner Primary Care Physicians Arizona LLC | 17900 N Porter Rd, Maricopa, AZ 85138-4228 |
Jeffrey R Smolin | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 155 E Warner Rd, Gilbert, AZ 85296-3082 |
Christina Joyave | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 1435 S Alma School Rd, Chandler, AZ 85286-7144 |
Melody D Austin | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 8510 W Deer Valley Rd, Suite 100, Peoria, AZ 85382-5386 |
Andrea W Mathiason | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 4860 N Litchfield Rd, Suite 102, Litchfield Park, AZ 85340-5040 |
Street Address |
13640 N PLAZA DEL RIO BLVD |
City | PEORIA |
State | AZ |
Zip | 85381-4846 |
Name | Specialty | Organization | Address |
---|---|---|---|
John M Heyer | Family Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
David A Silberman | Family Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Gera R Barnard | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Marti Neave Khoury | Physician Assistant | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Linda E Leech | Family Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Sophia Brown | Nurse Practitioner | Banner Physician Specialists Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Krupa Shah | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Gerald L Oldham | Internal Medicine | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Paul Schrickel | Nurse Practitioner | Banner Primary Care Physicians Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Anil Minocha | Gastroenterology | Banner Physician Specialists Arizona LLC | 13640 N Plaza Del Rio Blvd, Peoria, AZ 85381-4846 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Albert N Kim | Chiropractic | 8345 W Thunderbird Rd, B103, Peoria, AZ 85381-3668 | |
Paulina Simon | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
Jane M Kinstler | Nurse Practitioner | Agape Primary Care Pllc | 14074 N 90th Dr, Peoria, AZ 85381-3678 |
Ramin Fathi | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
Iain A Black | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
Deborah E Zell | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
Troy C Ellis | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave Bldg C, Peoria, AZ 85381-3688 |
Artthapol Tanphaichitr | Dermatology | Beatrice Keller Clinic, PC | 13943 N 91st Ave, C101, Peoria, AZ 85381-3688 |
Christina A Foster | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
Brady P Nelson | Physician Assistant | Valley Arthritis Care LLC | 13943 N 91st Ave Bldg I, Peoria, AZ 85381-3688 |
Find all physicians in zip 85381 |
City | PEORIA |
Zip Code | 85381 |
Specialty | FAMILY MEDICINE |
City + Specialty | PEORIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas P 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.