Carol R Porch, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

00012160 Issued in AL

Practice address

101 Sivley Rd SW
Huntsville, AL 35801-4421

Phone

(256) 265-9891

Fax

(256) 518-8276

NPI assigned

Sep 20, 2005

Last updated

Dec 4, 2007By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1538155155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "address_2": "DRAWER 141",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352460141",
            "telephone_number": "205-437-6098",
            "fax_number": "205-437-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-9891",
            "fax_number": "256-518-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCH",
        "first_name": "CAROL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00012160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4050088",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Poole, PHARMD
• Kylee Beth Poole
• Querita Poole
• Lois H Pope, PH.D.
• Victoria Popp, DPT
• Heather R Porch
• Amber Renea Porter, FNP
• Danielle Leslie Porter, FNP
• Gina Porter
• Gina Booth Porter, LCSW,PIP

• Emergency Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Emergency Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.