Dr Ryan Gary Porter, MD | |
620 Medical Dr Ste 340, Bountiful, UT 84010-5171 | |
(801) 299-2229 | |
(801) 299-4174 |
Full Name | Dr Ryan Gary Porter |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 16 Years |
Location | 620 Medical Dr Ste 340, Bountiful, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235387218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | R70627 (Arizona) | Secondary |
207V00000X | Obstetrics & Gynecology | 8191663-1205 (Utah) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeview Hospital Physician Services Llc | 3577451855 | 4 |
Entity Name | Lakeview Hospital Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932112448 PECOS PAC ID: 3577451855 Enrollment ID: O20040308001368 |
Mailing Address | Practice Location Address |
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Dr Ryan Gary Porter, MD Po Box 409836, Atlanta, GA 30384-9836 Ph: () - | Dr Ryan Gary Porter, MD 620 Medical Dr Ste 340, Bountiful, UT 84010-5171 Ph: (801) 299-2229 |
Mr. Nathan C Ward, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 340, Bountiful, UT 84010 Phone: 801-299-2229 Fax: 801-299-2230 | |
Dr. Ryan Bruce Empey, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 Medical Dr Ste 340, Bountiful, UT 84010 Phone: 801-299-2229 Fax: 801-299-3800 | |
Dr. Gina M Muscolino, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 Medical Dr, Suite 340, Bountiful, UT 84010 Phone: 801-299-2229 Fax: 801-299-2230 | |
Whitney Ramos-jensen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 Medical Dr Ste 340, Bountiful, UT 84010 Phone: 801-299-2229 Fax: 801-299-3800 | |
Mr. W. Gene Pead, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1000 Fax: 801-292-8369 | |
Mr. Wallace D Smith, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 340, Bountiful, UT 84010 Phone: 801-299-2229 Fax: 801-299-2230 |