Basic Information
| Provider Information | |||||||||
| NPI: | 1104074236 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PORR | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | HENRY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7987 | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366700987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516330573 | ||||||||
| FaxNumber: | 2516337367 | ||||||||
| Practice Location | |||||||||
| Address1: | 5955 AIRPORT BLVD | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366083135 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516330573 | ||||||||
| FaxNumber: | 2516337367 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2008 | ||||||||
| LastUpdateDate: | 02/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 062157 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 37294 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | 37294 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RP1001X | 37294 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 512-15878 | 01 | AL | BCBS OF AL | OTHER | 630799312 | 01 | AL | HUMANA CHOICE | OTHER | 512-15871 | 01 | AL | BCBS OF AL | OTHER | 512-15876 | 01 | AL | BCBS OF AL | OTHER | 5979732 | 01 | AL | UNITED HEALTHCARE | OTHER | 0810349 | 01 | AL | CIGNA | OTHER | 09507364 | 05 | MS | MEDICAID | 240048 | 05 | AL | MEDICAID | Z54925 | 01 | AL | VIVA HEALTH | OTHER | 218634 | 05 | AL | MEDICAID | 221255 | 05 | AL | MEDICAID | 512-15873 | 01 | AL | BCBS OF AL | OTHER | 512-15881 | 01 | AL | BCBS OF AL | OTHER | 218636 | 05 | AL | MEDICAID | 221249 | 05 | AL | MEDICAID | 630799312 | 01 | MS | MAGNOLIA HEALTH | OTHER | 219488 | 05 | AL | MEDICAID | 4555452 | 01 | AL | AETNA | OTHER | A03141I901 | 01 | AL | MEDICARE | OTHER |