DEVYN PORATH NPI 1003393190

NPI Information

NPI: 1003393190
Provider Name: DEVYN PORATH
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: PRIMECARE URGENT CARE PLLC

PECOS Registration: Yes

Address:
39555 W 10 MILE RD STE 302
NOVI, MI
ZIP 48375
Phone: (248) 426-7200
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Devyn Porath is a medical physician assistant in Novi, MI with 6 years of experience. Devyn Porath NPI is 1003393190. 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:

39555 W 10 MILE RD STE 302
NOVI, MI
ZIP 48375-950
Phone: (248) 426-7200

The NPI 1003393190 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 7/23/2018 and was last updated on 7/23/2018.

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	5315094078	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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