| Mr Stephen Troy Porter, CRNA | |
|
135 S Power Rd Ste 110, Mesa, AZ 85206-5245 | |
| (480) 745-8577 | |
| Not Available |
| Full Name | Mr Stephen Troy Porter |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 135 S Power Rd Ste 110, Mesa, Arizona |
| 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 |
|---|---|---|---|
| 1063584449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA0827 (Arizona) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209006282 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Partners And Management Llc | 9931429198 | 149 |
| Entity Name | Anesthesia Partners & Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
| Entity Name | Central Arizona Endoscopy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386020519 PECOS PAC ID: 1456357128 Enrollment ID: O20160331001452 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190327002249 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Troy Porter, CRNA 20641 S 196th St, Queen Creek, AZ 85142-6242 Ph: (618) 322-4507 | Mr Stephen Troy Porter, CRNA 135 S Power Rd Ste 110, Mesa, AZ 85206-5245 Ph: (480) 745-8577 |
Annabell Stimac, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3060 N Ridgecrest, Apt 164, Mesa, AZ 85207 Phone: 480-654-8197 | |
Joshua Todd Austin, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206 Phone: 480-321-2000 | |
Juancho C. Depaolo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209 Phone: 800-402-0881 | |
Candice Weierman Rodriguez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4838 E. Baseline Road, Suite 108, Mesa, AZ 85206 Phone: 480-981-2400 Fax: 480-981-2407 | |
Jennifer Michelle Hayden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1155 S Power Rd Ste, Mesa, AZ 85206 Phone: 623-271-2254 | |
Stuart Russell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2330 E Jasmine St, Mesa, AZ 85213 Phone: 480-980-7302 |