Eli Porth DO PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

OS3835 Issued in FL

Legal business name

ELI PORTH DO PA

Practice address

1120 State Road 436
Suite 1200
Casselberry, FL 32707-6100

Phone

(407) 678-8000

NPI assigned

Aug 18, 2008

Last updated

Oct 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eli Porth, DONPI 1699766022

Title

Physician/Owner

Phone

(407) 678-8000

Specialties & licenses 1

Addresses

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.

• Eli Porth, DO

  • Otolaryngology Physician
  • Casselberry, FL
  • NPI 1699766022
  NPD (past) Authorized official

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1285880617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 STATE ROAD 436",
            "address_2": "SUITE 1200",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076100",
            "telephone_number": "407-678-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 STATE ROAD 436",
            "address_2": "SUITE 1200",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076100",
            "telephone_number": "407-678-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI PORTH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "PORTH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-678-8000",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "OS3835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Mohan Saoji
• Lynda Lee Dubroff, LCSW
• Eric James Dullmeyer, M.P.T.
• Shanay T Duncan, APRN, FNP-BC
• Eastbrooke Gardens, Inc.
• Shannon Rose Ellis, RN, MSN, FNP-C
• Angelia Marie Ellison, L.M.T.
• Amr Elzeidy, PT
• Emil F.M. Felski, D.O., P. a.
• Ariel Priscilla Enriquez

• Otolaryngology Physician in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; 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.