Ricci R. Porter, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34445 Issued in MO

Practice address

850 W Hospital Dr
Ste D
Fulton, MO 65251

Phone

(573) 642-5338

Fax

(573) 642-9224

NPI assigned

Dec 19, 2005

Last updated

Aug 9, 2013By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy East Ambulatory Services LLC

  dba Mercy-GoHealth Urgent Care

  • Urgent Care Clinic/Center
  • Chesterfield, MO
  • NPI 1134673148
  NPD
• Sedalia Urgent Care LLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Sedalia, MO
  • NPI 1730063546
  NPD
• Our Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Maryland Heights, MO
  • NPI 1871819680
  NPD (past)
• St. Clair County Hospital District #1

  dba Lake Area Primary Care Clinic

  • Rural Health Clinic/Center
  • Wheatland, MO
  • NPI 1386728798
  NPD (past)
• General Medicine, P.C.

  • Geriatric Medicine (Internal Medicine) Physician
  • Novi, MI
  • NPI 1811945199
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1679559033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N HOSPITAL DR",
            "address_2": "STE F",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512535",
            "telephone_number": "575-642-5338",
            "fax_number": "573-642-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HOSPITAL DR",
            "address_2": "STE D",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "65251",
            "telephone_number": "573-642-5338",
            "fax_number": "573-642-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "RICCI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "34445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240826537",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Parker Pierce, M.D.
• Zorina Marie Pina-Hauan, R.N.,M.S.N.,F.N.P.
• Karolina Pogorzelski, MD
• Courtney Pollard-Thomas, LPC
• Armando B Ponce, MD
• Joshua Scott Prather, DDS
• Presbyterian Manors, Inc (Fulton Presbyterian Manor)
• Lisa Dawn Prsha, RPH
• Rebekah Antoinette Purvis
• Quality Clinical Laboratories LLC

• Family Medicine Physician in Fulton, MO
• Providers in Fulton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.