Mark A. Porter, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

22500 Issued in SC

Practice address

200 S Herlong Ave
Suite H
Rock Hill, SC 29732-1182

Phone

(803) 366-6135

Fax

(803) 366-3439

NPI assigned

Aug 22, 2005

Last updated

Oct 30, 2007By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1346232634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S HERLONG AVE",
            "address_2": "SUITE H",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321182",
            "telephone_number": "803-366-6135",
            "fax_number": "803-366-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S HERLONG AVE",
            "address_2": "SUITE H",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321182",
            "telephone_number": "803-366-6135",
            "fax_number": "803-366-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "22500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902900",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA8722",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Rosalyn Pollok, BCBA
• Kelly Polzien, MSP, CCC-SLP
• Paul R Ponnaiya, M.D.
• Glen Gunder Poore
• Nichila Portee, RBT
• Omni Porter, MA
• Vernette Porter
• Leah Posko, HSC
• Potte'RS House in Home Care
• Vanessa J Pour

• Neurology Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Neurology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.