MEDICARE: DR. ROBERT A. PORTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	C-5660	AR

General Provider Information

NPI Number	:	1194063990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A. PORTER M.D.

Provider Business Mailing Address
First Line	:	1900 SHADOW LN
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-2018
Country	:	US
Telephone Number	:	501-258-7700
Fax Number	:	501-377-8060

Provider Business Practice Location Address
First Line	:	1900 SHADOW LN
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-2018
Country	:	US
Telephone Number	:	501-258-7700
Fax Number	:	501-377-8060

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2013
Last Update Date	:	02/08/2026

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