Individual provider Active NPI

Ryan Gary Porter, M.D.

  • Obstetrics & Gynecology Physician
  • Bountiful, UT
National Provider Identifier
1235387218
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8191663-1205 Issued in UT
Practice address
620 Medical Dr Ste 340
Bountiful, UT 84010-5171
Phone
(801) 299-2229
Fax
(801) 299-4174
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R70627 AZ
Obstetrics & Gynecology Physician 207V00000X 8191663-1205 UT Primary

Addresses

Primary practice location

620 Medical Dr Ste 340
Bountiful, UT 84010-5171

Mailing address

PO Box 409836
Atlanta, GA 30384-9836

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RYAN.PORTER@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000767 UT Practitioner - Obstetrics/Gynecology 0143484071 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joshua Oaks MD PLLCGroup PAC ID 0840776688, 31 clinicians

Practice addresses (Care Compare)

520 Medical Dr
Suite 300
Bountiful, UT 84010-8925
Phone (801) 292-1422

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R70627AZMDObstetrics & Gynecology Physician
8191663-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua Oaks MD PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

520 Medical Dr
Ste 300
Bountiful, UT 84010
Phone (801) 292-1422

620 Medical Dr
Ste 340
Bountiful, UT 84010
Phone (801) 299-2229

Networks

  • UT PPO
  • UT PPO D-SNP

Interoperability endpoints

  • Direct secure messaging: ryan.porter.1@16218.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1235387218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409836",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MEDICAL DR STE 340",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105171",
            "telephone_number": "801-299-2229",
            "fax_number": "801-299-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "RYAN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-02-01",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "R70627",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "8191663-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RYAN.PORTER@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "620 Medical Dr Ste 340",
            "city": "Bountiful",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840105171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.