Active NPI
William C Porter MD LTD
- Otolaryngology Physician
- Fargo, ND
National Provider Identifier
1124058326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 5644
- Legal business name
- WILLIAM C PORTER MD LTD
- Practice address
- 100 4TH St S
Ste 608
Fargo, ND 58103-1929 - Phone
- (701) 235-0161
- Fax
- (701) 235-0332
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Calvin Porter, MD
- Title
- President
- Phone
- (701) 235-0161
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 5644 | ND | Primary |
Addresses
Primary practice location
100 4TH St S
Ste 608
Fargo, ND 58103-1929
Mailing address
100 4TH St S
Ste 608
Fargo, ND 58103-1929
Phone (701) 235-0161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01167001 | Other | ND | BCBS ND |
| 2T995PO | Other | MN | BCBS MN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Otolaryngology Physician
- Fergus Falls, MN
- NPI 1801886445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223078400000",
"number": "1124058326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 4TH ST S",
"address_2": "STE 608",
"city": "FARGO",
"state": "ND",
"postal_code": "581031929",
"telephone_number": "701-235-0161",
"fax_number": "701-235-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 4TH ST S",
"address_2": "STE 608",
"city": "FARGO",
"state": "ND",
"postal_code": "581031929",
"telephone_number": "701-235-0161",
"fax_number": "701-235-0332"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM C PORTER MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2008-10-04",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "CALVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "701-235-0161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "ND",
"license": "5644",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ND",
"identifier": "01167001",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "2T995PO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.