Theodore B Porter (NPI# 1689672479, PAC ID# 7911002555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1689672479 |
| PAC ID by PECOS | 7911002555 |
| Professional Enrollment ID | I20070410000575 |
| Full Name | Theodore B Porter |
| Address |
1413 W Moyamensing Ave 1st Floor Philadelphia PA 19145-4625 |
| Gender | M |
| Credential | DO |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 | ||
| 1413 W Moyamensing Ave, Philadelphia, PA 19145-4625 |
| Street Address |
1413 W MOYAMENSING AVE 1ST FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19145-4625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd Chertow | Orthopedic Surgery | 1413 W Moyamensing Ave, Philadelphia, PA 19145-4625 | |
| Komalben Patel | Physical Therapy | Premier Physical Therapy PC | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 |
| William Metz | Physical Therapy | Premier Physical Therapy PC | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 |
| Carl C Contino | Physical Therapy | Premier Physical Therapy PC | 1413 W Moyamensing Ave, 1st Floor, Philadelphia, PA 19145-4625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Shusterman | Internal Medicine | 1600 S 28th St, Phila, PA 19145-1202 | |
| Bruce Irwin Ackerman | Podiatry | 1602 S Broad St, Philadelphia, PA 19145-1509 | |
| Scott J Pello | Pain Management | 6325 Woodland Ave, Philadelphia, PA 19145-2036 | |
| James H Dovnarsky | Internal Medicine | Pulmonary Diease Association | 1726 S Broad St, Suite 103, Philadelphia, PA 19145-2300 |
| Julia Beth Brody | Pulmonary Disease | Pulmonary Diease Association | 1726 S Broad St, Philadelphia, PA 19145-2300 |
| Christina Marie Dougherty | Clinical Social Worker | 1840 S Broad St, Philadelphia, PA 19145-2303 | |
| Julio L Kuperman | Neurology | 1900 S Broad St, Grnd Floor, Phila, PA 19145-2304 | |
| Hope S Selarnick | Psychiatry | 1900 S Broad St, Phila, PA 19145-2304 | |
| John C Roi | Podiatry | 1442 Mckean St, Philadelphia, PA 19145-2308 | |
| Noi Walkenstein | Internal Medicine | Spuc, LLC | 1444 W Passyunk Ave, Doctors Express Urgent Care, Philadelphia, PA 19145-2312 |
| Find all physicians in zip 19145 | |||
| City | PHILADELPHIA |
| Zip Code | 19145 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PHILADELPHIA + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Theodore B 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.