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

Mr. Andrew E Porter

Individual provider Physician Assistant · NPI 1477908184

Mr. Andrew E Porter is a Physician Assistant in Medina, Ohio. Qualified in 2016, 10 years ago. Practices with Apex Dermatology and Skin Surgery Center, LLC, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

4975 Foote Rd Ste 400
Medina, OH 44256-9048
Phone: (330) 591-9038
Fax: (330) 722-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4975 Foote Rd # 400, Medina, OH 44256-8748 — (440) 443-0423

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 503004730RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 1135037 (OH)

Record details

NPI number1477908184
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2016
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address2000 Auburn Dr, Ste 350, Beachwood, OH 44122-4327

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Apex Dermatology And Skin Surgery Center, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Medina