Gregory G Porter, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G52817 Issued in CA

Practice address

1165 S Dora St Ste C2
Ukiah, CA 95482-6353

Phone

(707) 462-8855

Fax

(707) 462-8386

NPI assigned

Jul 12, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Mexico Clinical Research & Osteoporosis Center, Inc

  • Internal Medicine Physician
  • Albuquerque, NM
  • NPI 1871584730
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316962350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 S DORA ST STE C2",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826353",
            "telephone_number": "707-462-8855",
            "fax_number": "707-462-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S DORA ST STE C2",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826353",
            "telephone_number": "707-462-8855",
            "fax_number": "707-462-8386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Providence Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971327521",
            "country_code": "US",
            "telephone_number": "503-537-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "GREGORY",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD24876",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G52817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00356129",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PNC MSK, PC
• Gonzalo L Poe
• Susan Ruth Pollesel, MA CCC SP.
• Kimberly Poor
• Sean E Pope
• Jon Stephen Portnoff, M.D.
• L Virginia Powell, DMD
• Angela Power
• Christine Price, MFT
• Caitlyn Prince

• Otolaryngology Physician in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.