Active NPIIndividual providerSole proprietor

Makayla M Porter, PA-C

Physician Assistant in Ashburnham, Massachusetts

NPI Number1487278677
Practice location
222 Tuckerman RD, Ashburnham, MA 01430-3051
Fax
—
Last updated
June 3, 2020

Makayla Marie Porter is a Physician Assistant based in Ashburnham, MA. Makayla Marie Porter practices in Ashburnham, MA and has the professional credentials of PA-C. The NPI Number for Makayla Marie Porter is 1487278677 and holds a License No. 1162745. The current practice location address for Makayla Marie Porter is 222 Tuckerman RD, Ashburnham, MA 01430-3051 and can be reached out via phone at 978-514-2429.

Provider Profile Details

NPI Number
1487278677
Provider Name
Makayla Marie Porter
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
222 Tuckerman RD, Ashburnham, MA 01430-3051
Phone Number
978-514-2429
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 3, 2020
Last Update Date
June 3, 2020
Certification Date
June 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
222 Tuckerman RD
Ashburnham, MA 01430-3051
Zip
01430-3051
Phone Number
978-514-2429
Ashburnham, MA 01430Get directions →

Provider Business Mailing Address Details

Address
222 Tuckerman RD
Ashburnham, MA 01430-3051
City
Ashburnham
State
MA
Zip
01430-3051
Phone Number
978-514-2429

License Information

License Number (1)
1162745
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
1162745
License State (2)
CT
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Makayla M Porter, PA-C?

The NPI number of Makayla M Porter, PA-C is 1487278677. It was assigned on June 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Makayla M Porter, PA-C?

Makayla M Porter, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed under license number 1162745.

Where does Makayla M Porter, PA-C practice?

The practice location is 222 Tuckerman RD, Ashburnham, MA 01430-3051. The office can be reached at 978-514-2429 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487278677 directly on the NPPES registry website.

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