Individual provider Active NPI

Lawrence Martin Porter, MD

  • Internal Medicine Physician
  • Maple Heights, OH
National Provider Identifier
1689603995
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.049239 Issued in OH
Practice address
5264 Lee Rd
Maple Heights, OH 44137-1232
Phone
(216) 294-4440
Fax
(216) 249-6032
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-04-9239-P OH
Internal Medicine Physician 207R00000X 35.049239 OH Primary

Addresses

Primary practice location

5264 Lee Rd
Maple Heights, OH 44137-1232

Mailing address

5264 Lee Rd
Maple Heights, OH 44137-1232
Phone (216) 294-4440

Other identifiers 1

IdentifierTypeStateIssuer
0631329MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040618000022 OH Practitioner - Emergency Medicine 2769396365 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Jan 26, 2011 Accepting new patients
Dedicated Ohio Holding LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Jul 15, 2016 Accepting new patients
The Metrohealth System Current Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1025 Center St
Ashland, OH 44805
Phone (419) 207-2370

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

7642 Reading Rd
Cincinnati, OH 45237
Phone (513) 208-2880

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

5264 Lee Rd
Maple Heights, OH 44137
Phone (216) 294-4440

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: lporter232373@direct.metrohealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1689603995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5264 LEE RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371232",
            "telephone_number": "216-294-4440",
            "fax_number": "216-249-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5264 LEE RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371232",
            "telephone_number": "216-294-4440",
            "fax_number": "216-249-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LAWRENCE",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-04-9239-P",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.049239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Heights, OH

Sources for this page

Verify at the official NPI Registry.