Matthew Porch, RT(R)

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

Practice address

877 Jefferson Ave
Memphis, TN 38103-2807

Phone

(901) 545-7100

NPI assigned

Sep 26, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1750998464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 ASHDOWN PLACE CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726060",
            "telephone_number": "901-628-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-545-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCH",
        "first_name": "MATTHEW",
        "credential": "RT(R)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poplar Healthcare, PLLC
• Poplar Medical, LLC
• Poplar Podiatry PC
• Poplar Primary Care PC
• Ariel Ramiez Porcalla, M.D., M.P.H.
• Porter Family Primary Care, LLC
• Drew D Porter
• Jerlym S Porter, PHD
• Kabreashia Porter, FNP-BC
• Keevia Y Porter, NP-C

• Radiologic Technologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Radiologic Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.