Male or Other

James R. Porter M.D.

Hospitalist Physician in Evansville, IN(View on Map)

Full Name

James R Porter M.D.

NPI Number

1184643694

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/18/2006

Specialties

(Taxonomies)

Code

208M00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01049362A

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3407
600 MARY ST

City

Evansville
Evansville

State

IN
IN

Postal Code

47733-3407
47747-0001

Country

US
US

Telephone Number

(812) 450-6815
(812) 450-7338

Identifiers

Identifier

000000386244
64014467
000000112113

Identifier State

IN
KY
IN

Identifier Issuer

BCBS - DEACONESS GATEWAY
Unknown
BCBS - MARY STREET

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/20/2008

Provider Address

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