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Jonathan Castillo Porter, MD

Pediatrics, Developmental - Behavioral Pediatrics in Omaha, NE. Individual provider (NPI-1).

NPI number1104983063
StatusActive
Last updated in NPPESNov 13, 2025

Details

NPI
1104983063
Entity type
Individual (NPI-1)
Name
Jonathan Castillo Porter
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 2, 2007
Certification date
Nov 13, 2025
Last updated
Nov 13, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics35825NEYes

Practice location

8200 Dodge St
Omaha, NE 68114-4113

Phone 402-955-5400

Mailing address

8200 Dodge St
Omaha, NE 68114-4113

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Developmental - Behavioral Pediatrics Physician providers in Omaha, NE

All 5 Developmental - Behavioral Pediatrics Physician providers in Omaha · All 40,392 providers in Omaha

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