Mr. Ryan Todd Porter, PA-C
Mr. Ryan Todd Porter, PA-C is a Physician Assistant in Blackfoot, Idaho. Qualified in 2005, 21 years ago. Practices with Bmh Inc, a 136-clinician group and accepts Medicare assignment. Licensed in Idaho and Montana.
- Years since qualifying
- 21
- Licensed in
- ID, MT
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
98 Poplar StBlackfoot, ID 83221-1758
Phone: (208) 785-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence PA-827 (ID) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 447 (MT) |
Record details
| NPI number | 1669556213 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 24, 2006 |
| Last updated in NPPES | December 30, 2009 |
| Mailing address | 98 Poplar St, Blackfoot, ID 83221-1758 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Bmh Inc — 136 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Blackfoot
-
Beverly Hanson, PA
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 782-3993
-
Ryan Blair Killpack, PA-C
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 785-4100