John M Porter in Jackson - Trauma Surgery

John M Porter - NPI 1487735122

John M Porter is a Trauma Surgery in Jackson, Mississippi. John M Porter practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for John M Porter is 1487735122. The last update date is 2013-10-23.

John M Porter's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018151312 and fax number 6018154570. The mailing address for John M Porter is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name John M Porter
Address 2500 N State St, Jackson, Mississippi
Phone Number 6018151312
Fax Number 6018154570
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1487735122
Provider Enumeration Date 2006-10-18
Last Updated Date 2013-10-23

Provider Mailing Address Detail

Address 2500 N State St
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6018151312
Fax Number 6018154570

Provider's Primary Taxonomy Detail

Speciality Trauma Surgery
Taxonomy 2086S0127X
Licence No 19827
Definition:
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P01185849 MS RAILROAD MEDICARE
P00797090 MS RAILROAD MEDICARE
736216 MS --
642422 AZ --

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FAQs about John M Porter

What is the unique identifier code issued to John M Porter by the Centers for Medicare & Medicaid Services (CMS)?

The John M Porter has been assigned the NPI (National Provider Identifier) 1487735122. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where John M Porter is geographically located?

The John M Porter is physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.

What is John M Porter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John M Porter's specialized field of practice is Trauma Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0127X.

When was the John M Porter's 1487735122 issued?

The John M Porter's 1487735122 was issued on 2006-10-18.

As of what date were the John M Porter's details last updated?

The information pertaining to the John M Porter, including its address, specialty, and other details, was most recently updated on 2013-10-23.

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