Heather Feld Portaro, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD468085 Issued in PA

Practice address

804 Grandview Dr
Ephrata, PA 17522-1681

Phone

(717) 639-2955

Fax

(717) 461-7433

NPI assigned

Jun 28, 2012

Last updated

Jan 19, 2021By 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

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1609130129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-639-2955",
            "fax_number": "717-461-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 GRANDVIEW DR",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221681",
            "telephone_number": "717-639-2955",
            "fax_number": "717-461-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTARO",
        "first_name": "HEATHER",
        "middle_name": "FELD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD468085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ericka L Powell, MD
• Stacie D. Powroznik, LMT
• Proactive Pain Relief & Wellness, PC

• Surgery Physician in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.