John C. Porter MD PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

15286 Issued in AZ

Legal business name

JOHN C. PORTER MD PC

Practice address

12238 N 45TH LN
Glendale, AZ 85304-2312

Phone

(623) 764-8074

Fax

(623) 878-8712

NPI assigned

Jul 21, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John C Porter, MDNPI 1700940541

Title

President

Phone

(623) 764-8074

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.

• John Charles Porter, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Glendale, AZ
  • NPI 1700940541
  NPD (past) Authorized official

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1457581795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5415",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853125415",
            "telephone_number": "623-764-8074",
            "fax_number": "623-878-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12238 N 45TH LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042312",
            "telephone_number": "623-764-8074",
            "fax_number": "623-878-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C. PORTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-764-8074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "15286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Johannesmeyer, DMD
• John C Lincoln , LLC
• John C Lincoln, LLC
• John C. Lincoln, LLC
• John C. Lincoln, LLC
• John F Madden MD PC
• John G. Wood, DDS
• John H. Upton Jr. D.D.S. P.C. Magd
• John J. Mehlem, Jr., DMD, PC
• John Maslak DDS PC

• Pain Medicine Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.