NPI age
19 years
Enumerated 2006-10-24
● Active
Type 1 · Individual
MR. Ryan Todd Porter, PA-C
Porter is 1 of 2 physician assistant providers in Blackfoot and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, MT
2 states
Status
Active
No deactivations on record
Last NPPES update
2009-12-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
56% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
98 Poplar St
Blackfoot, ID 832211758
Mailing address
98 Poplar St
Blackfoot, ID 832211758
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (MT) | 4307719 | |
| 05 (ID) | 808517600 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.