Organization Active NPI

Okc Neurology-Catherine E Porter MD, PLLC

  • Medical Specialty Clinic/Center
  • Warr Acres, OK
National Provider Identifier
1053862102
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
28957 Issued in OK
Legal business name
OKC NEUROLOGY-CATHERINE E PORTER MD, PLLC
Practice address
5500 NW Expressway Ste E
Warr Acres, OK 73132-5218
Phone
(405) 943-5677
Fax
(405) 730-8124
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Dr. Catherine E Porter, M.D.NPI 1154564409
Title
President / Owner
Phone
(405) 943-5677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 28957 OK Primary

Addresses

Primary practice location

5500 NW Expressway Ste E
Warr Acres, OK 73132-5218

Mailing address

5500 NW Expressway Ste E
Warr Acres, OK 73132-5218
Phone (405) 943-5677

Other identifiers 1

IdentifierTypeStateIssuer
200694070AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catherine.porter@okcneurology.officeally.direct Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170309000103 OK Part B Supplier - Clinic/Group Practice 5294019311 Receives reassigned benefits from 1 practitioner
Practice locations: Warr Acres, OK

National Provider Directory

National Provider Directory

Locations

5500 NW Expressway
Ste E
Warr Acres, OK 73132
Phone (405) 943-5677

Interoperability endpoints

  • Direct secure messaging: catherine.porter@okcneurology.officeally.direct

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1053862102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NW EXPRESSWAY STE E",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325218",
            "telephone_number": "405-943-5677",
            "fax_number": "405-730-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NW EXPRESSWAY STE E",
            "city": "WARR ACRES",
            "state": "OK",
            "postal_code": "731325218",
            "telephone_number": "405-943-5677",
            "fax_number": "405-730-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKC NEUROLOGY-CATHERINE E PORTER MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "405-943-5677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "28957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200694070A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherine.porter@okcneurology.officeally.direct",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct messaging",
            "address_1": "5500 NW Expressway Ste E",
            "city": "Warr Acres",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731325218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warr Acres, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.