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PORTAGE PODIATRY PC
NPI 1295996502
Podiatrist - Foot & Ankle Surgery in Portage, MI

Active since June 19, 2008
1508 W CENTRE AVE, PORTAGE, MI 49024(269) 327-4447(269) 327-3120 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portage Podiatry Pc NPPES

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

PORTAGE PODIATRY PC (NPI 1295996502) is a healthcare organization registered as a foot & ankle surgery in Portage, Michigan and active in the NPI registry since June 2008. The organization lists David A Vanderbie, Physican, as its authorized official.

NPPES Registry Identity

NPI1295996502
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePORTAGE PODIATRY PC
Location Address1508 W CENTRE AVEPortage, MI 49024-5356
Mailing Address1508 W Centre AvePortage, MI 49024-5356 · (269) 327-4447 · Fax (269) 327-3120
Phone(269) 327-4447
Fax(269) 327-3120
Organization SubpartNo
Authorized OfficialDavid A VanderbiePhysican · (269) 327-4447
Enumeration DateJune 19, 2008
✔ NPI 1295996502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MI · 5901001113
1508 W CENTRE AVE, Portage, MI 49024
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Other Identifiers 2

Medicare UPINT33989MI
Medicaid1689800MI

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

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 Portage Podiatry PC's NPI number?

The NPI number for Portage Podiatry PC is 1295996502. It was assigned to this organization in the NPPES registry on June 19, 2008.

Where is Portage Podiatry PC located?

Portage Podiatry PC is located at 1508 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 327-4447.

What is Portage Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Portage Podiatry PC was last updated on June 19, 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.