| 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 | 37 Years |
| Location | 100 Medical Center Dr, Springfield, Ohio |
| 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 |
|---|---|---|---|
| 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 |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Miami Valley Hospital | Dayton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Springfield Specialty Care Llc | 4284059981 | 117 |
| 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: Medicare Enrolled 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 | |
Andrew L Turner, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1500 Villa Rd, Springfield, OH 45503 Phone: 937-390-9000 |