NPIMap

Organization Active NPI

Dr Lewis E Porter Professional Corporation

  • Surgery Physician
  • Bryant, AR
National Provider Identifier
1679737365
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-5015 Issued in AR
Legal business name
DR LEWIS E PORTER PROFESSIONAL CORPORATION
Practice address
23157 Highway I-30
Suite 200
Bryant, AR 72022
Phone
(501) 847-9687
Fax
(501) 847-9909
NPI assigned
Jul 11, 2008
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Lewis Eugene Porter, M.D.
Title
Physician
Phone
(501) 847-9687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X E-5015 AR Primary

Addresses

Primary practice location

23157 Highway I-30
Suite 200
Bryant, AR 72022

Mailing address

PO Box 648
Benton, AR 72018-0648
Phone (501) 574-7044

National Provider Directory

National Provider Directory

Locations

23157 Interstate 30 S
Ste 200
Bryant, AR 72022
Phone (501) 847-0834

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1679737365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 648",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720180648",
            "telephone_number": "501-574-7044",
            "fax_number": "501-574-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23157 HIGHWAY I-30",
            "address_2": "SUITE 200",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "72022",
            "telephone_number": "501-847-9687",
            "fax_number": "501-847-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LEWIS E PORTER PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "501-847-9687",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-5015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.