Active NPI
John C Porter MD PLC
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- JOHN C PORTER MD PLC
- Practice address
- 17233 N Holmes Blvd
Ste 1640
Phoenix, AZ 85053-2018 - Phone
- (602) 467-8605
- Fax
- (602) 467-8682
- NPI assigned
- Sep 29, 2009
- 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
- John C Porter, MD
- Title
- Member
- Phone
- (623) 764-2894
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
17233 N Holmes Blvd
Ste 1640
Phoenix, AZ 85053-2018
Mailing address
PO Box 5415
Glendale, AZ 85312-5415
Phone (602) 467-8605
National Provider Directory
National Provider DirectoryLocations
17233 N Holmes Blvd
Ste 1640
Phoenix, AZ 85053
Phone (602) 467-8605
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Glendale, AZ
- NPI 1700940541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262908800000",
"number": "1194059790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5415",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853125415",
"telephone_number": "602-467-8605",
"fax_number": "602-467-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17233 N HOLMES BLVD",
"address_2": "STE 1640",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532018",
"telephone_number": "602-467-8605",
"fax_number": "602-467-8682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C PORTER MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-29",
"last_updated": "2010-01-08",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "623-764-2894",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- John C Lincoln, LLC (Second Street Primary Care)
- John C Lincoln, LLC
- John C. Lincoln Comprehensive Women's Center, LLC
- John C. Lincoln Comprehensive Womens Center, LLC (John C. Lincoln Care for Women)
- John C. Lincoln Genetics Cancer Risk
- John C. Lincoln LLC (Southwest Endocrinology Associates)
- John C. Lincoln North Mountain Professionals, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.