Pophealthcare Medical Services of Az, PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

POPHEALTHCARE MEDICAL SERVICES OF AZ, PC

Practice address

170 Commerce Way Ste 200
Portsmouth, NH 03801-3272

Phone

(800) 793-7050

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Susan Porter

Title

Director

Phone

(615) 500-2199

Specialties & licenses 3

Addresses

Other names 3

• Maine Other name
• New Hampshire Other name
• Oregon Other name

Tax ID family

Pophealthcare Medical Services of Az PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pophealthcare Medical Services of Az, PC

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1104302413
  NPD tax ID
• Pophealthcare Medical Services of Az, PC

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1417652454
  NPD tax ID

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1154807469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SEABOARD LN STE 200B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678282",
            "telephone_number": "800-793-7050",
            "fax_number": "877-358-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 COMMERCE WAY STE 200",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013272",
            "telephone_number": "800-793-7050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Commercial St Ste 245",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041014899",
            "country_code": "US",
            "telephone_number": "207-808-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POPHEALTHCARE MEDICAL SERVICES OF AZ, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-500-2199"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New Hampshire",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Oregon",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Katherine M Poris, MSW
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• Nurse Practitioner in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.