Portner Medical PC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

C28757 Issued in CA

Legal business name

PORTNER MEDICAL PC

Practice address

1783 Shell Ring Cir
Mount Pleasant, SC 29466-8030

Phone

(310) 266-3050

Fax

(310) 454-5318

NPI assigned

Jul 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marvin M Portner, M.D.NPI 1356366793

Title

President

Phone

(310) 266-3050

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin M Portner, M.D.

  • Allergy Physician
  • Mount Pleasant, SC
  • NPI 1356366793
  NPD Authorized official
• Eleanor Haspel-Portner, PH.D.

  • Clinical Psychologist
  • Mount Pleasant, SC
  • NPI 1902134679
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1235162850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 SHELL RING CIR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668030",
            "telephone_number": "310-266-3050",
            "fax_number": "310-454-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 SHELL RING CIR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668030",
            "telephone_number": "310-266-3050",
            "fax_number": "310-454-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTNER MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "PORTNER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-266-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "C28757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF SOUTH CAROLINA",
            "identifier": "MD87328",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Marie Ponessa, RN
• Olivia Porpora
• Port City Ambulance Service LLC
• Polly Porter-Campbell, RN
• Ryan William Porter, DPT
• Marvin M Portner, M.D.
• Toya Pound, MD
• Elizabeth Lauren Powell, PA
• Sandra L Powell, MD
• PPCP Specialty Physicians , LLC

• Allergy Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Allergy Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.