Active NPI
Stephenie Layne Poris, M.D.
- Plastic Surgery Physician
- Orlando, FL
National Provider Identifier
1760823512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME122017
- Practice address
- 324 E Par St Ste 100
Orlando, FL 32804-4004 - Phone
- (321) 446-2509
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TRN 19123 | FL | |
| Plastic Surgery Physician | 208200000X | ME122017 | FL | Primary |
Addresses
Primary practice location
324 E Par St Ste 100
Orlando, FL 32804-4004
Mailing address
324 E Par St Ste 100
Orlando, FL 32804-4004
Phone (407) 558-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME122017 | FL | MD | Plastic Surgery Physician |
| TRN 19123 | FL | MD | Surgery Physician |
Interoperability endpoints
- sporis@porisplasticsurgery.emadirect.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1760823512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E PAR ST STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044004",
"telephone_number": "407-558-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 E PAR ST STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328044004",
"telephone_number": "321-446-2509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORIS",
"first_name": "STEPHENIE",
"middle_name": "LAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "TRN 19123",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME122017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.