Carl Douglas Porter, MD | |
100 Medical Center Dr, Springfield, OH 45504-2687 | |
(937) 523-1034 | |
(937) 523-1966 |
Full Name | Carl Douglas Porter |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 35 Years |
Location | 100 Medical Center Dr, Springfield, Ohio |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720087463 | NPI | - | NPPES |
0922443 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 35064697 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Springfield Regional Medical Center | Springfield, OH | Hospital |
Ohio Valley Surgical Hospital | Springfield, OH | Hospital |
Kettering Medical Center | Kettering, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Physicians Springfield Specialty Care Llc | 4284059981 | 90 |
Entity Name | Mercy Health Physicians Springfield Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790308104 PECOS PAC ID: 4284059981 Enrollment ID: O20200728003692 |
Mailing Address | Practice Location Address |
---|---|
Carl Douglas Porter, MD 100 Medical Center Dr, Springfield, OH 45504-2687 Ph: (937) 523-1034 | Carl Douglas Porter, MD 100 Medical Center Dr, Springfield, OH 45504-2687 Ph: (937) 523-1034 |
Jordan Noyes, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2221 Grube St, Springfield, OH 45503 Phone: 937-399-8941 | |
Randal S Richardson, P.T. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4230 E. National Road (rear), Springfield, OH 45505 Phone: 937-323-8000 Fax: 937-323-6960 | |
Dr. Jon Kronberg, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-1000 | |
Mr. Martin F Bertram, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4960 Middle Urbana Rd, Springfield, OH 45503 Phone: 937-399-8366 Fax: 937-399-8379 | |
Andrew L Turner, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1500 Villa Rd, Springfield, OH 45503 Phone: 937-390-9000 |