Craig C Porter in Milwaukee - Pediatric Nephrology
Craig C Porter - NPI 1265413298
Craig C Porter is a Pediatric Nephrology in Milwaukee, Wisconsin. Craig C Porter practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Craig C Porter is 1265413298. The last update date is 2011-09-15.
Craig C Porter's current location address is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4143377702 and fax number 4143377105. The mailing address for Craig C Porter is 9000 W Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig C Porter |
|---|---|
| Address | 9000 W Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4143377702 |
| Fax Number | 4143377105 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265413298 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2011-09-15 |
Provider Mailing Address Detail
| Address | 9000 W Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532264874 |
| Phone Number | 4143377702 |
| Fax Number | 4143377105 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Nephrology |
|---|---|
| Taxonomy | 2080P0210X |
| Licence No | 27617 |
|
Definition: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29989 | IA | WELLMARK BCBS | |
| 299891 | IA | -- | |
| 1265413298 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Craig C Porter by the Centers for Medicare & Medicaid Services (CMS)?
The Craig C Porter has been assigned the NPI (National Provider Identifier) 1265413298. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Craig C Porter?
The Craig C Porter is physically situated at 9000 W Wisconsin Ave, in the city of Milwaukee, state of WI, with the postal code 532264874.
What is Craig C Porter's specialized field of practice, and what is the corresponding taxonomy classification code?
The Craig C Porter's area of specialization is Pediatric Nephrology, and the corresponding taxonomy code that categorizes this field of practice is 2080P0210X.
On what date did the Craig C Porter receive the assignment of its 1265413298 from the Centers for Medicare & Medicaid Services?
The Craig C Porter was issued its 1265413298 by the Centers for Medicare & Medicaid Services on 2005-11-08.
When was the information regarding Craig C Porter most recently updated?
The details pertaining to the Craig C Porter, including its address, specialty, and other relevant information, were last refreshed on 2011-09-15.