Individual provider Active NPI

Jill Y Porter, DO

  • Family Medicine Physician
  • Athens, OH
National Provider Identifier
1750340915
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-007469 Issued in OH
Practice address
265 W Union St Ste a
Athens, OH 45701-2313
Phone
(740) 594-2456
Fax
(740) 594-9630
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-007469 OH Primary

Addresses

Primary practice location

265 W Union St Ste a
Athens, OH 45701-2313

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (740) 594-2456

Other practice location 1

2030 Stringtown Rd Ste 300
Grove City, OH 43123-3993
Phone (614) 544-0101

Other practice location 2

1120 Polaris Pkwy
Suite 200
Columbus, OH 43240-4042
Phone (614) 880-9333

Other practice location 3

26 Hospital Dr # 1
Athens, OH 45701-2471
Phone (740) 592-4491

Other identifiers 3

IdentifierTypeStateIssuer
2342174MedicaidOH
4090107OtherOHMEDICARE
000000272687OtherOHANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jporter8562@direct.ohiohealth.com OhioHealth Physician Group

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
I20050523000447 OH Practitioner - Family Practice 5193767986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

26 Hospital Dr
FL 2
Athens, OH 45701-2301
Phone (740) 249-4122

265 W Union St
Athens, OH 45701-2313

393 E Town St
Columbus, OH 43215-4799

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34-007469OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Ohiohealth Corporation CurrentSince Nov 27, 2010 Accepting new patients
Ohiohealth Corporation CurrentSince Nov 27, 2010 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

265 W Union St
Ste A
Athens, OH 45701
Phone (740) 566-4850

26 Hospital Dr
#1
Athens, OH 45701
Phone (740) 592-4491

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

1120 Polaris Pkwy
Ste 100
Columbus, OH 43240
Phone (614) 459-0974

1120 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (614) 880-9333

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Ste 300
Grove City, OH 43123
Phone (614) 544-0101

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1750340915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "740-594-2456",
            "fax_number": "740-594-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W UNION ST STE A",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012313",
            "telephone_number": "740-594-2456",
            "fax_number": "740-594-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Stringtown Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431233993",
            "country_code": "US",
            "telephone_number": "614-544-0101",
            "fax_number": "614-544-0102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1120 Polaris Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432404042",
            "country_code": "US",
            "telephone_number": "614-880-9333",
            "fax_number": "614-880-9331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Hospital Dr # 1",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012471",
            "country_code": "US",
            "telephone_number": "740-592-4491",
            "fax_number": "740-592-4844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JILL",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-007469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342174",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4090107",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000272687",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jporter8562@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "2030 Stringtown Rd",
            "address_2": "Ste 300",
            "city": "Grove City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431233993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

Verify at the official NPI Registry.