Active NPI
Stacy Porter
- Emergency Medicine Physician
- Scottsdale, AZ
National Provider Identifier
1962601856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 43003
- Practice address
- 7400 E Osborn Rd
Scottsdale, AZ 85251-6432 - Phone
- (248) 898-5000
- NPI assigned
- Jul 12, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 43003 | AZ | Primary |
Addresses
Primary practice location
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Mailing address
PO Box 2808
Scottsdale, AZ 85252-2808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43003 | Other | AZ | ARIZONA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43003 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Emergency Associates, LTD. | Emergency Medicine | Current | Accepting new patients |
| Honorhealth | Emergency Medicine | Current | Accepting new patients |
| Honorhealth | Current | Accepting new patients | |
| Scottsdale Emergency Associates, LTD. | Emergency Medicine | Current | Accepting new patients |
Locations
4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100
7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000
16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110
Organizations & group practices 4
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.
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- Emergency Medicine Physician
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- Prosthetic/Orthotic Supplier
- Peoria, AZ
- NPI 1386456762
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1023298551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1962601856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2808",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852522808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 E OSBORN RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852516432",
"telephone_number": "248-898-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "43003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MEDICAL LICENSE",
"identifier": "43003",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.