Active NPI
Elaine Ports, P.A.
- Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C03427
- Practice address
- 5601 Loch Raven Blvd
Pob Suite G1
Baltimore, MD 21239-2905 - Phone
- (410) 532-4735
- Fax
- (410) 532-4752
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C03427 | MD | Primary |
Addresses
Primary practice location
5601 Loch Raven Blvd
Pob Suite G1
Baltimore, MD 21239-2905
Mailing address
5601 Loch Raven Blvd
Pob Suite G1
Baltimore, MD 21239-2905
Phone (410) 532-4735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
314 W Carroll St
Suite 1
Salisbury, MD 21801-5409
Phone (410) 546-0464
Hospital & facility affiliations
- Tidalhealth Peninsula Regional, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C03427 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Plastic Surgery P.C. | Current | Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Current | Accepting new patients | |
| St Paul Place Specialists Inc | Current | Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Past | Accepting new patients | |
| The Good Samaritan Hospital of Maryland Inc | Past | Accepting new patients | |
| Medstar Harbor Hospital Physicians LLC | Past | Accepting new patients | |
| Harbor Hospital | Past | Accepting new patients | |
| Peninsula Plastic Surgery P C | Past | Accepting new patients | |
| The Good Samaritan Hospital of Maryland Inc | Past | Accepting new patients |
Locations
30265 Commerce Dr
Unit 208
Millsboro, DE 19966
Phone (302) 663-0119
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
124 N Main St
Ste D
Berlin, MD 21811
Phone (410) 546-0464
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
314 W Carroll St
Ste 1
Salisbury, MD 21801
Phone (410) 546-0464
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Plastic Surgery Physician
- Salisbury, MD
- NPI 1598710485
-
- Orthopaedic Foot and Ankle Surgery Physician
- Baltimore, MD
- NPI 1871549196
-
- Surgical Oncology Physician
- Baltimore, MD
- NPI 1336195650
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1497707681
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1831110873
-
- General Practice Physician
- Baltimore, MD
- NPI 1386067783
-
- Physical Therapist
- Baltimore, MD
- NPI 1346292422
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1699796805
-
- Multi-Specialty Clinic/Center
- Baltimore, MD
- NPI 1699799635
-
- Plastic and Reconstructive Surgery Physician
- Millsboro, DE
- NPI 1396926242
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487718516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "POB SUITE G1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "410-532-4735",
"fax_number": "410-532-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 LOCH RAVEN BLVD",
"address_2": "POB SUITE G1",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212392905",
"telephone_number": "410-532-4735",
"fax_number": "410-532-4752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTS",
"first_name": "ELAINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C03427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.