Individual provider Active NPI

Taylor L Porter, M.D.

  • Psychiatry Physician
  • Lawrence, KS
National Provider Identifier
1760423362
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
04-22998 Issued in KS
Practice address
1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Phone
(785) 371-4921
Fax
(888) 965-5147
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-22998 KS Primary

Addresses

Primary practice location

1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082

Mailing address

1811 Wakarusa Dr Ste 102
Lawrence, KS 66047-2082
Phone (785) 371-4921

Other identifiers 2

IdentifierTypeStateIssuer
100180200BMedicaidKS
100908OtherKSMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100626000198 KS Practitioner - Psychiatry 0446381081 Reassigns benefits to 1 organization
Practice locations: Lawrence, KS

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime TMS LLCGroup PAC ID 8820357908, 5 clinicians

Practice addresses (Care Compare)

1811 Wakarusa Dr
Suite 102
Lawrence, KS 66047-2082
Phone (785) 371-4921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-22998KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust Current Accepting new patients
Prime TMS LLC CurrentSince Dec 12, 2017 Accepting new patients

Locations

1811 Wakarusa Dr
Ste 102
Lawrence, KS 66047
Phone (785) 371-4921

1725 SW Gage Blvd
Ste 201
Topeka, KS 66604
Phone (785) 371-4921

901 SW Garfield Ave
Topeka, KS 66606

3707 SW 6th Ave
Topeka, KS 66606
Phone (785) 270-4630

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Organizations & group practices 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1760423362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 WAKARUSA DR STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472082",
            "telephone_number": "785-371-4921",
            "fax_number": "888-965-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 WAKARUSA DR STE 102",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472082",
            "telephone_number": "785-371-4921",
            "fax_number": "888-965-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TAYLOR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-22998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100180200B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "100908",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.