Dr. Ron Wade Porter
M.D. | Pediatrics | Male
Dr. Ron Wade Porter, M.D. is a Ammon, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Ron Wade Porter is
3067 Eagle Dr, Ammon, Idaho - 83406-1273. He can be contacted on phone at
208-522-4600 and fax number 208-552-7521.
Dr. Ron Wade Porter is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Ron Wade Porter is
1770577728 which was assigned by NPPES on 06 Sep, 2005 and it was last updated on 19 Nov, 2020.
Dr. Ron Wade Porter license number is
M-7271 for Pediatrics (208000000X) in Idaho.
Dr. Ron Wade Porter is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ron Wade Porter basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Ron Wade Porter |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
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Business Address:
Dr. Ron Wade Porter address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3067 Eagle Dr
Ammon, ID, 83406-1273
United States |
|---|
| Phone Number : | 208-522-4600 |
|---|
| Fax Number : | 208-552-7521 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770577728 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Sep, 2005 |
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| Last Updated On : | 19 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ron Wade Porter are as mentioned. Primary taxonomy code for Dr. Ron Wade Porter, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M-7271 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Ron Wade Porter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 42291 | Other | ID | BLUE CROSS |
| 804187300 | MEDICAID | ID | |
| 000010004000 | Other | ID | BLUE SHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3067 Eagle Dr
Ammon, ID, 83406-1273
United States |
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| Phone Number : | 208-522-4600 |
|---|
| Fax Number : | 208-552-7521 |
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Business Location:
Patients can refer following map for directions to
Dr. Ron Wade Porter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.