Ron Wade Porter, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M-7271 Issued in ID

Practice address

3067 Eagle Dr
Ammon, ID 83406-1273

Phone

(208) 522-4600

Fax

(208) 552-7521

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGFGAA

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.

• Cristina Leon, DO PA

  • Pediatric Cardiology Physician
  • Ammon, ID
  • NPI 1598383929
  NPD
• Just 4 Kids Pediatrics

  • Pediatrics Physician
  • Ammon, ID
  • NPI 1366560971
  NPD

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1770577728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 EAGLE DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834061273",
            "telephone_number": "208-522-4600",
            "fax_number": "208-552-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 EAGLE DR",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834061273",
            "telephone_number": "208-522-4600",
            "fax_number": "208-552-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 Bond Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834403503",
            "country_code": "US",
            "telephone_number": "208-522-4600",
            "fax_number": "208-552-7512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 Pancheri Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834023169",
            "country_code": "US",
            "telephone_number": "208-522-4600 x105",
            "fax_number": "208-552-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "RON",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ID",
            "license": "M-7271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010004000",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804187300",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "42291",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kolt Monte Piquet, PA-C
• Richard Stephen Piroschak, B.S. PHARMACY
• Benjamin Pixton, PMHNP
• Carl B Plesner, RPH
• Joanne Pond, FNP-C
• Trudy Marie Potter, PTA
• James R Powell
• Raja Sekhar Prabhala, BA
• Practice Partners, LLC
• Practice Partners, LLC.

• Pediatrics Physician in Ammon, ID
• Providers in Ammon, ID by specialty
• Pediatrics Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.