Basic Information
Provider Information
NPI: 1508131640
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PORTERFIELD
FirstName: JAMES
MiddleName: ZACHARY
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 740 S LIMESTONE K512
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405360001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 800 ROSE ST
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405363220
CountryCode: US
TelephoneNumber: 8593235544
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/21/2012
LastUpdateDate: 12/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/16/2019

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XTP865KYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200XTP865KYY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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