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

Randall W Porter, MD

Individual provider Neurological Surgery Physician · NPI 1730176389

Randall W Porter, MD is a Neurosurgery in Phoenix, Arizona. Graduated from Rush Medical College of Rush University in 1993, 33 years ago. Offers telehealth. Licensed in Arizona.

Years since qualifying
33
Trained at
Rush Medical College of Rush University
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2910 N 3rd Ave
Phoenix, AZ 85013-4434
Phone: (602) 406-4856
Fax: (602) 406-3369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 28395 (AZ)

Record details

NPI number1730176389
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 29, 2005
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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