Ross Porter

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

032642 Issued in CT

Legal business name

ROSS PORTER

Doing business as

Enfield Pediatric Associates

Practice address

141B Hazard Avenue
Enfield, CT 06082-4521

Phone

(860) 749-3169

Fax

(860) 749-2670

NPI assigned

Aug 29, 2007

Last updated

Jun 30, 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

Dr. Ross W. Porter, MD

Title

Owner Doctor

Phone

(860) 749-3169

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Enfield Pediatric Associates Doing business as

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1356535777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141B HAZARD AVENUE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824521",
            "telephone_number": "860-749-3169",
            "fax_number": "860-749-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141B HAZARD AVENUE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824521",
            "telephone_number": "860-749-3169",
            "fax_number": "860-749-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS PORTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "860-749-3169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "032642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004224630",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enfield Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Rose Rolocut
• Mary Lou Romano
• Sandra Romano
• Jennifer Root, LCSW
• Rosemarie Thompson, Rd
• Robert A Rossetti, DMD, MD
• Izabela Roszkowska
• Amy Beth Rothenberg, ND NATUROPATHIC DOCT
• Kelly Alice Rowan, LPC
• Justin Lee Rush, ATC

• Pediatrics Physician in Enfield, CT
• Providers in Enfield, CT by specialty
• Pediatrics Physician in Connecticut

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