Jerold Porter, B.C. H.I.S.

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Practice address

5000 E Market St
Warren, OH 44484-2260

Phone

(330) 392-8600

Fax

(330) 392-6315

NPI assigned

Jun 13, 2019

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

Practice roles

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.

• Wolverine Hearing Group, LLC

  • Hearing Aid Equipment
  • Las Vegas, NV
  • NPI 1336852250

  Hearing Aid Equipment

  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1801456736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E MARKET ST STE 7",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842259",
            "telephone_number": "330-392-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842260",
            "telephone_number": "330-392-8600",
            "fax_number": "330-392-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JEROLD",
        "name_prefix": "Mr.",
        "credential": "B.C. H.I.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Joyce Pomaro, CNP
• Albert M Pondillo Jr., PHD
• Seana Marie Popa
• Addison Popescu
• Alexandra Nicole Popovec, PA-C
• Scott William Porterfield, PT
• Kimberly Posey
• Michael F Potesta, M.D.
• Karen Sue Potts, L.P.T.A., R.N.
• Krystina Lyn Pouliot, APRN, CNP

• Hearing Aid Equipment in Warren, OH
• Providers in Warren, OH by specialty
• Hearing Aid Equipment in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.