Jennifer Porachan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

COND.2016311-SP Issued in OH

Practice address

2311 Nave Rd SE
Massillon, OH 44646-8822

Phone

(330) 837-1001

NPI assigned

Nov 18, 2016

Sex

Female

Sole proprietor

No

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

State licenses

Interoperability endpoints

• Direct secure messaging: jporachan39241@ehrdirect.uhhospitals.org

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1861935157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 DELLBANK DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441441630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 NAVE RD SE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468822",
            "telephone_number": "330-837-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORACHAN",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "COND.2016311-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Pittman
• Eugene D Pogorelec
• Abbey Pohovey, PT
• Jessica Pointdujour, LCDCII
• Sierra Pool
• Azizarae Porter
• Cynthia Kimberly Porter
• Kelly Marie Porter
• Premier Anesthesia of Massillon
• Premier Approach, LLC

• Student in an Organized Health Care Education/Training Program in Massillon, OH
• Providers in Massillon, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.