Active NPI
Douglas Dwight Porter, M.D.
- Orthopaedic Surgery Physician
- Destin, FL
National Provider Identifier
1689900243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 70192
- Practice address
- 403 Coleman PT
Destin, FL 32541-3407 - Phone
- (850) 217-0127
- Fax
- (850) 837-0192
- NPI assigned
- Nov 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 70192 | FL | Primary |
Addresses
Primary practice location
403 Coleman PT
Destin, FL 32541-3407
Mailing address
403 Coleman PT
Destin, FL 32541-3407
Phone (850) 217-0127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70192 | FL | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1689900243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 COLEMAN PT",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413407",
"telephone_number": "850-217-0127",
"fax_number": "850-837-0192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 COLEMAN PT",
"city": "DESTIN",
"state": "FL",
"postal_code": "325413407",
"telephone_number": "850-217-0127",
"fax_number": "850-837-0192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "DOUGLAS",
"middle_name": "DWIGHT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "70192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.