Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David Vaughn Porter Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1154831642

David Vaughn Porter Jr., PA-C is a Physician Assistant in Merriam, Kansas. Qualified in 2017, 9 years ago. Practices with Shawnee Mission Medical Center Inc, a 277-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
9
Licensed in
KS, MO
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7450 Kessler St Ste 202
Merriam, KS 66204-2553
Phone: (913) 632-9480
Fax: (913) 632-9499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 15-03060 (KS)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2017036354 (MO)

Record details

NPI number1154831642
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 10, 2017
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Shawnee Mission Medical Center Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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