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PORTER PHYSICIAN SERVICES LLC
NPI 1285842963
Orthopaedic Surgery in Chesterton, IN

Active since May 18, 2007CLIA 15D0355872 · Waiver
650 DICKINSON RD, CHESTERTON, IN 46304(219) 477-1013(219) 548-1410 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Porter Physician Services Llc NPPES

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

PORTER PHYSICIAN SERVICES LLC (NPI 1285842963) is a healthcare organization registered as an orthopaedic surgery in Chesterton, Indiana and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1285842963
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePORTER PHYSICIAN SERVICES LLC
Location Address650 DICKINSON RDChesterton, IN 46304-3387
Mailing Address650 Dickinson RdChesterton, IN 46304-3387 · (219) 477-1013 · Fax (219) 477-1410
Phone(219) 477-1013
Fax(219) 548-1410
Organization SubpartNo
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateMay 18, 2007
Last NPPES UpdateJune 27, 2008
✔ NPI 1285842963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
650 DICKINSON RD, Chesterton, IN 46304
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Other Identifiers 2

Medicaid200865650AIN
Medicare PIN252000IN

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0355872

Porter Physician Services, LLC · Chesterton, IN
Active · expires Dec 22, 2027
CLIA Number15D0355872
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorMark Ritter
Laboratory Phone(219) 926-2133
Laboratory LocationPorter Physician Services, LLC650 Dickinson Road, Chesterton, IN 46304
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

DR. GARY ALLEN BABCOKE MD
Family Medicine
650 DICKINSON RD, SUITE A
CHESTERTON, IN 46304
Porter County (219) 926-2133
DR. JOEL IRVIN HULL MD
Family Medicine
650 DICKINSON RD, SUITE A
CHESTERTON, IN 46304
Porter County (219) 926-2133
PORTER HEALTH SERVICES
Family Medicine
650 DICKINSON RD, SUITE A
CHESTERTON, IN 46304
Porter County (219) 926-2133
DR. SARAH KNAPP DNP
Nurse Practitioner (Family)
650 DICKINSON RD
CHESTERTON, IN 46304
Porter County (219) 926-7755
DR. RODNEY LEWIS GUIMONT JR. M.D.
Family Medicine
650 DICKINSON RD
CHESTERTON, IN 46304
Porter County (219) 926-7755
EMMANUEL THIERRY MENTOR
Family Medicine
650 DICKINSON RD
CHESTERTON, IN 46304
Porter County (219) 926-7755
JESSICA LYNN WISDOM FNP-BC
Nurse Practitioner (Family)
650 DICKINSON RD
CHESTERTON, IN 46304
Porter County (219) 926-7755
LISA R STEPHENSON NP
Nurse Practitioner
650 DICKINSON RD
CHESTERTON, IN 46304
Porter County (219) 926-7755

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 Porter Physician Services LLC's NPI number?

The NPI number for Porter Physician Services LLC is 1285842963. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Porter Physician Services LLC located?

Porter Physician Services LLC is located at 650 Dickinson Rd, Chesterton, IN 46304. The listed phone number is (219) 477-1013.

What is Porter Physician Services LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Does Porter Physician Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0355872) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Porter Physician Services LLC was last updated on June 27, 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.