Dr. Thomas Eugene Porter , MD
General Practice • Goreville, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Porter has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Thomas Porter, MD was a registered General Practice practicing in Goreville, IL. Throughout an active medical career spanning 12 years, Dr. Porter provided care at the practice location at 200 SOUTH BROADWAY ST until profile deactivation on 2018-07-25.
Practice Location & Contact Primary Location
200 South Broadway St
Goreville, IL 629390040
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Goreville, IL
Practicing in Goreville, IL (355 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Physician Assistant - Medical
Physician Assistant (Certified)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 25, 2018
NPI status registered as active in NPPES database
Registered at 200 SOUTH BROADWAY ST, GOREVILLE, IL 629390040 (Tel: 6189952396)
Registered at PO BOX 40, GOREVILLE, IL 629390040 (Tel: 6189952396)
Recorded as THOMAS PORTER, MD
General Practice
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 40
Goreville, IL 629390040
Phone: 6189952396
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