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PRIMARY CARE PC
NPI 1013029883
Family Medicine in Portage, IN

Active since August 31, 2006
3125 WILLOWCREEK ROAD, PORTAGE, IN 46368(219) 762-3175(219) 763-3092 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Primary Care Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE PC (NPI 1013029883) is a healthcare organization registered as a family medicine in Portage, Indiana and active in the NPI registry since August 2006. The organization lists Kenneth Walter Blumenthal, President, as its authorized official.

NPPES Registry Identity

NPI1013029883
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY CARE PC
Location Address3125 WILLOWCREEK ROADPortage, IN 46368
Mailing Address3125 Willowcreek RoadPortage, IN 46368 · (219) 762-3175 · Fax (219) 763-3092
Phone(219) 762-3175
Fax(219) 763-3092
Organization SubpartNo
Authorized OfficialKenneth Walter BlumenthalPresident · (219) 762-3175
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 7, 2008
✔ NPI 1013029883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 50004219A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3125 WILLOWCREEK ROAD, Portage, IN 46368
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Other Identifiers 3

Medicaid200272620IN
Medicare PIN149070IN
Medicare NSC4157960001IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DAPHNE STEVENSON PT
Physical Therapist
3125 WILLOWCREEK ROAD
PORTAGE, IN 46368
Porter County (219) 762-3175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Care PC's NPI number?

The NPI number for Primary Care PC is 1013029883. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Primary Care PC located?

Primary Care PC is located at 3125 Willowcreek Road, Portage, IN 46368. The listed phone number is (219) 762-3175.

What is Primary Care PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Primary Care PC was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.