DOROTHY WHATLEY PORTER PA NPI 1871849133

NPI Information

NPI: 1871849133
Provider Name: DOROTHY WHATLEY PORTER, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3635 S CLYDE MORRIS BLVD
SUITE 100
PORT ORANGE, FL
ZIP 32129
Phone: (386) 788-1242
Get Directions

Dorothy Whatley Porter, PA is a medical physician assistant in Port Orange, FL with 12 years of experience. Dorothy Whatley Porter, PA NPI is 1871849133. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3635 S CLYDE MORRIS BLVD
SUITE 100
PORT ORANGE, FL
ZIP 32129-300
Phone: (386) 788-1242
Fax: (386) 756-8802

The NPI 1871849133 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2012 and was last updated on 5/23/2013.

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
1	363AM0700X	Physician Assistant	Medical	PA9106692	FLORIDA	Yes

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
1	Y0CE7	OTHER	FLORIDA	BCBS
2	006441000	MEDICAID	FLORIDA
3	GK243Z	MEDICARE PIN

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

NPI Synchronization or Removal

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