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Contact Information

DOUGLAS R PORTER, MD
9811 W CHARLESTON BLVD STE 2-641
LAS VEGAS, NV89117-7528
 Phone: 855-864-4322
 Fax: 855-864-4322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for DOUGLAS R PORTER · (Male)

NPI Number 1205000239
Status Active
Credentials MD
Entity Individual
Enumeration date 04/22/2008
Last updated 06/11/2025 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • AL License # MD.35605
  • AZ License # 57094
  • AZ License # E-9389
  • CA License # A120368
  • CT License # 53712
  • NM License # TM2014-0671
  • NV License # 15545
  • NY License # 1988834
  • SC License # MD37652
  • TN License # 52179
  • TX License # Q2939
  • WA License # MD60502147
Hospital affiliation(s)
  • BON SECOURS-ST FRANCIS XAVIER HOSPITAL - (Acute Care)
    2095 HENRY TECKLENBURG DRIVE
    CHARLESTON, SC 29414
  • BOONE HOSPITAL CENTER - (Acute Care)
    1600 E BROADWAY
    COLUMBIA, MO 65201
  • EAST COOPER MEDICAL CENTER - (Acute Care)
    2000 HOSPITAL DR
    MOUNT PLEASANT, SC 29464
  • IRVING COPPELL SURGICAL HOSPITAL LLP - (Acute Care)
    400 WEST INTERSTATE 635 SUITE 101
    IRVING, TX 75063
  • METRO HEALTH HOSPITAL - (Acute Care)
    5900 BYRON CENTER AVENUE, SW
    WYOMING, MI 49519
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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