Mary Barbara Porter, M.D., F.A.A.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

251574 Issued in NY

Practice address

919 Westfall Rd
Building a, Suite 105
Rochester, NY 14618-2638

Phone

(585) 244-9720

Fax

(585) 244-9995

NPI assigned

Jun 15, 2006

Sex

Female

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mporter@elmwoodpediatrics.medentdirect.com

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.

• Elmwood Pediatric Group, LLP

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1497840391
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1699719088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HARVEST GLN",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342769",
            "telephone_number": "585-444-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD",
            "address_2": "BUILDING A, SUITE 105",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182638",
            "telephone_number": "585-244-9720",
            "fax_number": "585-244-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MARY",
        "middle_name": "BARBARA",
        "credential": "M.D., F.A.A.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "251574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3152765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette Porter, N.P.
• Desirae Latoya Porter, L.P.N.
• Everett F Porter, MD
• Isaiah Joseph Porter, DO
• Josephine Katherine Porter, MD
• Megan Elizabeth Porter, NP
• Randall Scott Porter, MD
• Roslynn Porter
• Shaniqua Charlene Porter, LPN
• Taylor Porter

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.