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PERMPORN VANASUPA MD
NPI 1679507511
Family Medicine in Port Huron, MI

Active since July 10, 2006
1225 10TH ST, HURON FAMILY PRACTICE CENTER, PORT HURON, MI 48060(810) 987-6200(810) 987-8717 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Permporn Vanasupa Md NPPES

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

PERMPORN VANASUPA MD (NPI 1679507511) is an individual family medicine provider in Port Huron, Michigan, licensed in Michigan (40301032135) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1679507511
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePERMPORN VANASUPACredential: MD
Location Address1225 10TH ST, HURON FAMILY PRACTICE CENTERPort Huron, MI 48060
Mailing Address5041 Longview DrTroy, MI 48098 · (810) 987-6200
Phone(810) 987-6200
Fax(810) 987-8717
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679507511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 40301032135
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.
1225 10TH ST, Port Huron, MI 48060
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Other Identifiers 4

Medicare UPINB44778
Other4301032135MI · Physician License Number
Medicaid3184814MI
OtherAV9479088MI · Us Federal

Other Providers at the Same Location NPPES 7

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

MRS. SHARON ROSE ARMSTRONG NP
Nurse Practitioner
1225 10TH ST, HURON FAMILY PRACTICE CENTER
PORT HURON, MI 48060
St. Clair County (810) 987-6200
ALEXANDER GRANT RUTHVEN II MD
Family Medicine
1225 10TH ST, HURON FAMILY PRACTICE CENTER
PORT HURON, MI 48060
St. Clair County (810) 987-6200
HURON FAMILY PRACTICE CENTER PC
Clinic/Center (Primary Care)
1225 10TH ST, HURON FAMILY PRACTICE CENTER PC
PORT HURON, MI 48060
St. Clair County (810) 987-6200
ANDRIA LAILA JANSKI
Physician Assistant
1225 10TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-6200
BETTY FALECKI NP-C
Nurse Practitioner (Family)
1225 10TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-6200
MRS. KAREN SUE KEGLER FNP
Nurse Practitioner (Family)
1225 10TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-6200
AUTUMN ANNE WHITTEN PA-C
Physician Assistant
1225 10TH ST
PORT HURON, MI 48060
St. Clair County (810) 987-6200

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 Permporn Vanasupa's NPI number?

The NPI number for Permporn Vanasupa is 1679507511. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Permporn Vanasupa located?

Permporn Vanasupa practices at 1225 10th St Huron Family Practice Center, Port Huron, MI 48060. The listed phone number is (810) 987-6200.

What is Permporn Vanasupa'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 Permporn Vanasupa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.