Provider Type Icon

DR. JOHN ALFRED PORTER M.D. NPI 1740219237


NPI Information

NPI: 1740219237
Provider Name: DR. JOHN ALFRED PORTER, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
4 COULTER RD
#58
CLIFTON SPRINGS, NY
ZIP 14432
Phone: (315) 462-1485
Get Directions

DR. John Alfred Porter, M.D. is a vascular surgery surgery in Clifton Springs, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. John Alfred Porter, M.D. NPI is 1740219237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4 COULTER RD
#58
CLIFTON SPRINGS, NY
ZIP 14432-122
Phone: (315) 462-1485
Fax: (315) 462-2619

The enumeration date for this NPI number is 6/30/2006 and was last updated on 12/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery146697NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10062375MEDICAIDNEW YORK
2X70002OTHERNEW YORKGENEVA GENERAL HOSPITAL
3RA7537MEDICARE PIN
4C58308MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.