Provider Demographics
NPI:1528058252
Name:PORTER, AARON JON (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:JON
Last Name:PORTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3252 ASPEN GROVE DRIVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7215
Mailing Address - Country:US
Mailing Address - Phone:615-771-7555
Mailing Address - Fax:615-771-7773
Practice Address - Street 1:3252 ASPEN GROVE DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-7215
Practice Address - Country:US
Practice Address - Phone:615-771-7555
Practice Address - Fax:615-771-7773
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY37277207W00000X
TNMD0000036018207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64050784Medicaid
KYH64436Medicare UPIN
TN103I187842Medicare PIN
KY64050784Medicaid