Stephanie Ann Porter, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L3841 Issued in TX

Practice address

3564 N Fourth St Ste a
Longview, TX 75605-0039

Phone

(903) 230-3311

Fax

(903) 230-3312

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEDJDD
• FHIR API: https://api.platform.athenahealth.com/12984/brand/1/csg/1/fhir/r4
• Direct secure messaging: stephanie.porter.1@12984.direct.athenahealth.com

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.

• Dallas Healthcare for Children

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1932336476
  NPD (past) Authorized official
• Somers Medical PLLC

  • Urgent Care Clinic/Center
  • Longview, TX
  • NPI 1134817950

  Pediatrics

  NPD (past)
• Somers Pediatrics

  • Pediatrics Physician
  • Longview, TX
  • NPI 1245733492
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1154349389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 N FOURTH ST STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756050039",
            "telephone_number": "903-230-3311",
            "fax_number": "903-230-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 N FOURTH ST STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756050039",
            "telephone_number": "903-230-3311",
            "fax_number": "903-230-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3564 N Fourth St Ste B",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756050039",
            "country_code": "US",
            "telephone_number": "903-231-3144",
            "fax_number": "903-231-3230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGI",
            "identifier": "K0122980",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzan Adam Poonawala, MD
• Susan Pope
• Jessica Erin Porter, RN
• Matthew Porter, MD
• Matthew Charles Porter, MD
• Jennifer Paige Potter, PHARMD
• Lance Monroe Potter, D.C.
• Katherine Elizabeth Pouns, MD
• Elizabeth Ann Powell, NP
• Mallory Powell, COTA

• Pediatrics Physician in Longview, TX
• Providers in Longview, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.