| David Vaughn Porter Jr, PA-C | |
|
7450 Kessler St Ste 202, Merriam, KS 66204-2553 | |
| (913) 632-9480 | |
| (913) 632-9499 |
| Full Name | David Vaughn Porter Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 7450 Kessler St Ste 202, Merriam, Kansas |
| 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 |
|---|---|---|---|
| 1154831642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2017036354 (Missouri) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 15-03060 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| Adventhealth South Overland Park, Inc | Overland park, KS | Hospital |
| Lmh | Lawrence, KS | Hospital |
| Adventhealth Ottawa | Ottawa, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shawnee Mission Medical Center Inc | 9537119037 | 282 |
| Entity Name | Shawnee Mission Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
| Mailing Address | Practice Location Address |
|---|---|
| David Vaughn Porter Jr, PA-C 7450 Kessler St Ste 202, Merriam, KS 66204-2553 Ph: (913) 632-9480 | David Vaughn Porter Jr, PA-C 7450 Kessler St Ste 202, Merriam, KS 66204-2553 Ph: (913) 632-9480 |
Macy M Saunders, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7450 Kessler St Ste 300, Merriam, KS 66204 Phone: 913-632-2900 Fax: 913-831-6882 |
Jeremy Lee Cowgill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7450 Kessler St Ste 140, Merriam, KS 66204 Phone: 913-362-8317 Fax: 913-362-0169 |
Allison O'boynick Serrano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9301 W 74th St, Ste 225, Merriam, KS 66204 Phone: 913-831-1003 Fax: 913-831-4801 |
Sam River Holmes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7450 Kessler St Ste 300, Merriam, KS 66204 Phone: 913-632-2900 Fax: 913-831-6880 |
Gustav Thomas Riemer, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9119 W. 74th Street, Suite 354, Shawnee Mission Medical Building, Merriam, KS 66204 Phone: 913-894-2121 Fax: 913-894-9592 |
Hailey Martin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2000 |
Megan Mccoy, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9100 W 74th St, Merriam, KS 66204 Phone: 913-676-2000 |