Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN JAMES PORTER, DO
Active Sole ProprietorETHAN JAMES PORTER, DO is a Hospitalist healthcare provider located in ROLLA, Missouri. NPI 1194306126 is currently active in the NPPES registry. Verify at CMS.
Hospitalist · ROLLA, MO
Registration Details
- NPI Number
- 1194306126
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2021 (5.3319391781787 yrs)
- Last Updated
- May 12, 2025
- Licenses
-
2024035388 (MO)2024035388 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1000 W 10TH STROLLA, MO, 654012905Browse MO providers · Browse ZIP 65401
- Phone
- 5733649000
- Fax
- 5734262108
- Primary Specialty
-
Hospitalist
208M00000X
- Additional Specialty
- Hospitalist
Other Hospitalist Providers in ROLLA, MO
| Name | Credential | NPI |
|---|---|---|
| DR. CHUN HO SO | MD | 1851315410 |
| TODD G RIGGS | DO | 1922114008 |
| DR. GERARDO ISMAEL GACER GUECO | M.D. | 1417289463 |
| MS. CHIMNOYA N NWAGWU-YOULO | MD | 1881910487 |
| ABDALLA OUN | M D | 1992089619 |
| RACHAEL WILLIAMS | — | 1558755629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.