Manuel Porth, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0028637 Issued in FL

Practice address

7225 N University Dr
Ste 201
Tamarac, FL 33321-2952

Phone

(954) 724-3400

Fax

(954) 724-9721

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Fort Pierce Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Fort Pierce, FL
  • NPI 1639246234
  Medicare reassignment

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1639175532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 N UNIVERSITY DR",
            "address_2": "STE 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212952",
            "telephone_number": "954-724-3400",
            "fax_number": "954-724-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N UNIVERSITY DR",
            "address_2": "STE 201",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212952",
            "telephone_number": "954-724-3400",
            "fax_number": "954-724-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTH",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "0028637",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "0028637",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254166100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042775600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ameerah Pompilus
• Javier Enrique Ponce, MS, RMHCI, RMFTI
• Ella Viktorovna Popova, DO
• Cortney Popowitz
• Jose Rafael Porras, D.D.S. M.S.D.
• Raashida B Portier, FNP PMHNP
• Jocelie Laure Pouyes
• Nodly Pouyes
• Huston Ray Powell Jr., PHARM.D.
• Sharon Powell

• Orthopaedic Surgery Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.

Verify at the official NPI Registry.