John Alfred Porter, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

146697 Issued in NY

Practice address

4 Coulter Rd
#58
Clifton Springs, NY 14432-1122

Phone

(315) 462-1485

Fax

(315) 462-2619

NPI assigned

Jun 30, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Geneva General Hospital, Inc

  • Emergency Medicine Physician
  • Geneva, NY
  • NPI 1487797080
  NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1740219237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 652",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7741",
            "fax_number": "585-756-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COULTER RD",
            "address_2": "#58",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-1485",
            "fax_number": "315-462-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JOHN",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "146697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENEVA GENERAL HOSPITAL",
            "identifier": "X70002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062375",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phelps-Clifton Springs Central School District
• Phelps-Clifton Springs Central School District
• Sarah Elizabeth Phillips, PHARMD
• Phoenix Mills Chiropractic Center PC
• Patrick Paul Plucinik, PHARM.D.
• Sheryl Lyn Prater, NP
• Professional Choice, Inc.
• Dan P Qantaqua
• Alicia Marie Raeman, FNP-C
• Jessica Randall, NP

• Vascular Surgery Physician in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.