Andrew W Porter MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20835 Issued in KY

Legal business name

ANDREW W PORTER MD

Practice address

112 Point Cir
Gilbertsville, KY 42044-9224

Phone

(270) 703-3309

NPI assigned

Sep 16, 2008

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Johnson

Title

Billing Agency

Phone

(270) 382-3112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1740439652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "LYNNVILLE",
            "state": "KY",
            "postal_code": "420630015",
            "telephone_number": "270-382-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 POINT CIR",
            "city": "GILBERTSVILLE",
            "state": "KY",
            "postal_code": "420449224",
            "telephone_number": "270-703-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW W PORTER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "BILLING AGENCY",
        "authorized_official_telephone_number": "270-382-3112"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "20835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Butler Rehab (Childs Play)
• Butler Rehab, Inc.

• Family Medicine Physician in Gilbertsville, KY
• Providers in Gilbertsville, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.