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PORTER PHYSICIAN SERVICES LLC
NPI 1457566309
Internal Medicine in Portage, IN

Active since May 14, 2007
3630 WILLOWCREEK RD, PORTAGE, IN 46368(219) 759-5791(219) 759-3807 Get Directions Write a Review

NPPES record last updated: January 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 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 1457566309) is a healthcare organization registered as an internal medicine in Portage, Indiana and active in the NPI registry since May 2007. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1457566309
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePORTER PHYSICIAN SERVICES LLC
Location Address3630 WILLOWCREEK RDPortage, IN 46368-5075
Mailing Address3630 Willowcreek RdPortage, IN 46368-5075 · (219) 759-5791 · Fax (219) 759-3807
Phone(219) 759-5791
Fax(219) 759-3807
Organization SubpartNo
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateMay 14, 2007
Last NPPES UpdateJanuary 28, 2009
✔ NPI 1457566309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
3630 WILLOWCREEK RD, Portage, IN 46368
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Other Identifiers 3

Medicare PIN252000IN
Medicaid200866880AIN
Medicare PIN5437180002IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ATLANTIC SILVERSIDE EMERGENCY PHYSICIANS LLC
Emergency Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (469) 401-2386
KOTA MEDICAL PC
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 759-5812
RANGA KOTA MD, PC
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 759-5812
PORTER HOSPITAL LLC
Rehabilitation Unit
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 263-4600
ASSOCIATES IN SURGERY, PC
Surgery
3630 WILLOWCREEK RD, SUITE 3
PORTAGE, IN 46368
Porter County (219) 759-4577
DR. SHANE DAVID BUSH M.D.
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3700
HEATHER BOLAN
Speech-Language Pathologist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3000
PORTER GROUP SERVICES, LLC
Hospitalist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3000

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 1457566309. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Porter Physician Services LLC located?

Porter Physician Services LLC is located at 3630 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 759-5791.

What is Porter Physician Services LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Porter Physician Services LLC was last updated on January 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.