Samuel Grant Porter, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-38118 Issued in KS

Practice address

800 W Frontier LN
Olathe, KS 66061

Phone

(913) 397-7800

NPI assigned

Jul 1, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1588079305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 E SHALIMAR DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021093",
            "telephone_number": "309-202-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W FRONTIER LN",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-397-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SAMUEL",
        "middle_name": "GRANT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-38118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Populus Physician Services, L.L.C.
• Hollie Elizabeth Porsi, M.S., CCC-SLP
• Amy Porter, MOTR/L CLT
• Janet Rene Porter, APRN, PMHNP-BC, DNP
• Keisa Monique Porter
• Waco C Porter
• Robyn Lyn Potanas, LSCSW
• Emily J Potter, LMFT
• Meshon Pouncil
• Dusti D. Powell, MS, TLMFT

• Family Medicine Physician in Olathe, KS
• Providers in Olathe, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.