Individual
SCOTT E PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25906
SC
207XX0801X
Orthopaedic Trauma Physician
Primary
25906
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01587548
—
MS
05
—
259062
—
SC
01
—
512G700003
UP MEDICARE
MS
01
—
512I200003
MEDICARE PTAN
MS
01
—
P00462306
UP RRMCR PTAN
MS
Enumeration date
06/12/2006
Last updated
07/19/2022
Update your record
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