Active NPI
Cindy R Porter, MD
- Pediatrics Physician
- Texarkana, TX
National Provider Identifier
1619977097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J6668
- Practice address
- 5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766 - Phone
- (903) 614-3000
- Fax
- (903) 614-3525
- NPI assigned
- Jul 28, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | J6668 | TX | Primary |
| Pediatrics Physician | 208000000X | E0865 | AR |
Addresses
Primary practice location
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Mailing address
5002 Cowhorn Creek Rd
Texarkana, TX 75503-9766
Phone (903) 614-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0865 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collom and Carney Clinic Association | Pediatrics | Current | Accepting new patients |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom & Carney Clinic Association | Current | Accepting new patients | |
| Collom and Carney Clinic Association | Past | Accepting new patients | |
| Collom & Carney Clinic Association | Past | Accepting new patients | |
| Collom & Carney Clinic Association | Past | Accepting new patients | |
| Collom & Carney Clinic Association | Past | Accepting new patients |
Locations
1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365
5002 Cowhorn Creek Rd
Texarkana, TX 75503
Phone (903) 614-3008
2602 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-6000
Interoperability endpoints
- cindy.porter.p1@direct.collom-carney.nextgenshare.com
Organizations & group practices 7
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.
-
- Hematology & Oncology Physician
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- NPI 1114909934
-
- Nephrology Physician
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- NPI 1265414635
-
- Pediatrics Physician
- Texarkana, TX
- NPI 1588646301
-
- Cardiovascular Disease Physician
- Texarkana, TX
- NPI 1013252279
-
- Clinical Medical Laboratory
- Texarkana, TX
- NPI 1164405296
-
- Pain Medicine (Anesthesiology) Physician
- Texarkana, TX
- NPI 1962829747
-
- Clinic/Center
- Texarkana, TX
- NPI 1871575514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184371200000",
"number": "1619977097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5002 COWHORN CREEK RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755039766",
"telephone_number": "903-614-3000",
"fax_number": "903-614-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5002 COWHORN CREEK RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755039766",
"telephone_number": "903-614-3000",
"fax_number": "903-614-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "CINDY",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2007-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J6668",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "E0865",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.