Wayne R. Porter M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0023205 Issued in FL

Legal business name

WAYNE R. PORTER M.D. P.A.

Practice address

909 N Miami Beach Blvd
Suite 203
North Miami Beach, FL 33162-3712

Phone

(305) 949-4223

NPI assigned

Feb 29, 2008

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wayne Randolph Porter, M.D.NPI 1346280682

Title

President

Phone

(305) 949-4223

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne Randolph Porter, M.D.

  • Specialist
  • North Miami Beach, FL
  • NPI 1346280682
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1043489446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-949-4223",
            "fax_number": "305-949-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N MIAMI BEACH BLVD",
            "address_2": "SUITE 203",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331623712",
            "telephone_number": "305-949-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE R. PORTER M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-949-4223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0023205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Henry Wasserman, M.D.
• Watercrest Acquisition I LLC
• Barry Howard Waterman, D.M.D.
• Catherine Watson, AU.D.
• Wayne N Evancho DO PA
• We Are Essential, LLC
• Marc K Weinberg, D.C.
• Jose Ruben Weisinger, MD
• Mark L Weiss, DMD, PA
• Mark Weitman, MD

• Specialist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.