John M Portera is a Podiatrist in Greenville, Mississippi. John M Portera practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for John M Portera is 1770695108. The last update date is 2013-07-08.
John M Portera's current location address is 1175 S Main St, Greenville, Mississippi. You can contact this provider via phone number 6623355872 and fax number 6623352677. The mailing address for John M Portera is 1175 S Main St, Greenville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John M Portera |
|---|---|
| Address | 1175 S Main St, Greenville, Mississippi |
| Phone Number | 6623355872 |
| Fax Number | 6623352677 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1770695108 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2013-07-08 |
Provider Mailing Address Detail
| Address | 1175 S Main St |
|---|---|
| City | Greenville |
| State | Mississippi (MS) |
| Post Code | 387016337 |
| Phone Number | 6623355872 |
| Fax Number | 6623352677 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 80037 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480017850 | MS | PALMETTO GBA-RR MEDICARE | |
| 111482 | MS | -- |
Post Comment/ Review Below
What is the John M Portera's unique identification number?
The John M Portera has been assigned the NPI (National Provider Identifier) Number 1770695108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of John M Portera?
The John M Portera is physically situated at 1175 S Main St, in the city of Greenville, state of MS, with the postal code 387016337.
What is John M Portera's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John M Portera is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770695108 to John M Portera?
The John M Portera received its 1770695108 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information regarding John M Portera most recently updated?
The details pertaining to the John M Portera, including its address, specialty, and other relevant information, were last refreshed on 2013-07-08.
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