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
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
NPI Entity Type : Individual
First Enrolment Date : 06 Sep, 2005
Last Updated On : 19 Nov, 2020
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYesM-7271ID
Legacy Identifiers:
Other legacy medical identifiers of Dr. Ron Wade Porter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
42291OtherIDBLUE CROSS
804187300MEDICAIDID
000010004000OtherIDBLUE 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
Phone Number :208-522-4600
Fax Number :208-552-7521
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. Last updated on 08 January, 2024.