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

Jacob Russell Porter, DO

Individual provider Emergency Medicine Physician · NPI 1588198063

Jacob Russell Porter, DO is an Emergency Medicine in Salt Lake City, Utah. Qualified in 2017, 9 years ago. Practices with Emergency Physicians Integrated Care LLC, a 203-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

333 N 300 W
Salt Lake City, UT 84103-1215
Phone: (014) 637-4158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 00000000 (IL)

Record details

NPI number1588198063
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 12, 2017
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Emergency Physicians Integrated Care Llc — 203 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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