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Individual

ROBERT PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVENUE, CLEVELAND, OH 44106
(216) 844-1700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
35071752
OH
207UN0901X
Nuclear Cardiology Physician
35071752
OH
207UN0902X
Nuclear Imaging & Therapy Physician
35071752
OH
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
35071752
OH
2085B0100X
Body Imaging Physician
35071752
OH
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
35071752
OH
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
35071752
OH
2085N0700X
Neuroradiology Physician
35071752
OH
2085N0904X
Nuclear Radiology Physician
35071752
OH
2085P0229X
Pediatric Radiology Physician
35071752
OH
2085R0001X
Radiation Oncology Physician
35071752
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35071752
OH
2085R0203X
Therapeutic Radiology Physician
35071752
OH
2085R0204X
Vascular & Interventional Radiology Physician
35071752
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000234755
UNISON
OH
01
000000558132
ANTHEM
OH
01
0304914
BCMH
OH
05
1024955900001
PA
05
2086899
OH
01
4077752
AETNA
OH
01
746939
BUCKEYE
OH
01
P00420608
RAILROAD MEDICARE
OH
Enumeration date
08/25/2005
Last updated
12/02/2025
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