Individual provider Active NPI

Hillary Porter, DO

  • Child & Adolescent Psychiatry Physician
  • Huntington, WV
National Provider Identifier
1073871083
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
3195 Issued in WV
Practice address
1600 Medical Center Dr FL 3R
Huntington, WV 25701-3656
Phone
(304) 691-1300
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 03943 KY
Pediatrics Physician 208000000X 3195 WV
Child & Adolescent Psychiatry Physician 2084P0804X 34.016245 OH
Child & Adolescent Psychiatry Physician 2084P0804X 3195 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr FL 3R
Huntington, WV 25701-3656

Mailing address

118 Private Drive 963
Ironton, OH 45638-9123
Phone (740) 646-0470

Other practice location 1

1408 Campbell Dr
Ironton, OH 45638-2301
Phone (740) 534-9202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171220001024 WV Practitioner - PsychiatryPractitioner - Other (Physician) 5991086217 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3195WVMDPediatrics Physician
34.016245OHMDChild & Adolescent Psychiatry Physician
3195WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Pediatrics CurrentSince Oct 11, 2017 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 1, 2023 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Oct 11, 2017 Accepting new patients

Locations

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918

1600 Medical Center Dr
Fl 3R
Huntington, WV 25701
Phone (304) 691-1300

1115 20th St
Ste 205
Huntington, WV 25703
Phone (304) 691-1100

1249 15th St
Ste 4093
Huntington, WV 25701
Phone (304) 691-8714

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1600 Medical Center Dr
Fl 3
Huntington, WV 25701
Phone (304) 466-2918

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1073871083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PRIVATE DRIVE 963",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456389123",
            "telephone_number": "740-646-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR FL 3R",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 Campbell Dr",
            "address_purpose": "LOCATION",
            "city": "Ironton",
            "state": "OH",
            "postal_code": "456382301",
            "country_code": "US",
            "telephone_number": "740-534-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "HILLARY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "KY",
            "license": "03943",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "3195",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34.016245",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WV",
            "license": "3195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.