MEDICARE: ALLISON PORTER MD

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	207Q00000X	Family Medicine Physician	57.250229	OH

General Provider Information

NPI Number	:	1669098026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON PORTER MD

Provider Business Mailing Address
First Line	:	932 BELL RD
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-4150
Country	:	US
Telephone Number	:	440-226-0393
Fax Number	:

Provider Business Practice Location Address
First Line	:	8210 MACEDONIA COMMONS BLVD UNIT 40
Second Line	:
City	:	MACEDONIA
State	:	OH
Zip	:	44056-1861
Country	:	US
Telephone Number	:	866-320-4573
Fax Number	:

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

Provider Enumeration Date	:	06/22/2020
Last Update Date	:	09/18/2023

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Directions to “ ALLISON PORTER MD” Practice Location

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