Active NPI
Joe Porter, P.A.
- Physician Assistant
- Vernal, UT
National Provider Identifier
1265780258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7585928-1206
- Practice address
- 872 W Highway 40
Vernal, UT 84078-2416 - Phone
- (435) 789-6677
- Fax
- (435) 789-6677
- NPI assigned
- Aug 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7585928-1206 | UT | Primary |
Addresses
Primary practice location
872 W Highway 40
Vernal, UT 84078-2416
Mailing address
872 W Highway 40
Vernal, UT 84078-2416
Phone (435) 789-6677
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
872 W Hwy 40
Vernal, UT 84078-2416
Phone (435) 789-6677
Hospital & facility affiliations
- Ashley Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAGEDD/Endpoint/BAGEDD
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Vernal, UT
- NPI 1376012336
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vernal, UT
- NPI 1447296249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1265780258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 W HIGHWAY 40",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782416",
"telephone_number": "435-789-6677",
"fax_number": "435-789-6678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "872 W HIGHWAY 40",
"city": "VERNAL",
"state": "UT",
"postal_code": "840782416",
"telephone_number": "435-789-6677",
"fax_number": "435-789-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "JOE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-22",
"last_updated": "2020-10-28",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "7585928-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernal, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.