NPIMap

Organization Active NPI

Porter Pediatrics Comprehensive Pediatric Health Care.PC

  • Pediatrics Physician
  • Boston, MA
National Provider Identifier
1760495105
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
80061 Issued in MA
Legal business name
PORTER PEDIATRICS COMPREHENSIVE PEDIATRIC HEALTH CARE.PC
Practice address
354 Tremont St
Boston, MA 02116-5538
Phone
(617) 426-9200
Fax
(617) 426-9201
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Lynn S Porter, M.DNPI 1518184456
Title
President
Phone
(617) 426-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 80061 MA Primary

Addresses

Primary practice location

354 Tremont St
Boston, MA 02116-5538

Mailing address

354 Tremont St
Boston, MA 02116-5538
Phone (617) 426-9200

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1048763Porter Pediatrics Comprehensive Pediatric Health354 Tremont St, Boston, MA 02116Provider-performed microscopyDec 11, 2027

National Provider Directory

National Provider Directory

Locations

354 Tremont St
#356
Boston, MA 02116

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1760495105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165538",
            "telephone_number": "617-426-9200",
            "fax_number": "617-426-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165538",
            "telephone_number": "617-426-9200",
            "fax_number": "617-426-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER PEDIATRICS COMPREHENSIVE PEDIATRIC HEALTH CARE.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-426-9200",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "80061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.