DR. JOHN CHARLES PORTER MD NPI 1700940541

NPI Information

  • NPI: 1700940541
  • Provider Name: DR. JOHN CHARLES PORTER, MD
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6527 W BLOOMFIELD RD
    GLENDALE, AZ
    ZIP 85304
  • Phone: (623) 764-2894

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NPI Details

DR. John Charles Porter, MD is a pain medicine physical medicine rehabilitation in Glendale, AZ with 45 years of experience. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. DR. John Charles Porter, MD NPI is 1700940541. 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:

6527 W BLOOMFIELD RD
GLENDALE, AZ
ZIP 85304-652
Phone: (623) 764-2894
Fax: (623) 878-8712

The NPI 1700940541 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 12/19/2006 and was last updated on 4/11/2014.

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
1208VP0000XPain MedicinePain Medicine15286ARIZONANo
22081P2900XPhysical Medicine & RehabilitationPain Medicine15286ARIZONAYes

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
1D37463MEDICARE UPIN
2Z102643MEDICARE ID-TYPE UNSPECIFIED
3247173MEDICAIDARIZONA
4Z134153MEDICARE PINARIZONA

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: 11/21/2025

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