PORTER PHYSICIAN SERVICES LLC (NPI# 1376744664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376744664 |
| Entity Type | Organization |
| Organization Name | PORTER PHYSICIAN SERVICES LLC |
| Other Organization Name | PORTER OCCUPATIONAL MEDICINE |
| Practice Address |
3220 Lancer St Portage IN 46368-4495 |
| Mailing Address |
Po Box 2028 Portage IN 46368-5528 |
| Practice Telephone | 2197648439 |
| Practice Fax Number | 2197648463 |
| Mailing Telephone | 2197636858 |
| Mailing Fax Number | 2197634858 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARY D NEWSOME (PRESIDENT) |
| Authorized Official Telephone | 6154657000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | ========= | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Porter Occupational Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508075680 | Porter Physician Services LLC | Nurse Practitioner | 650 Dickinson Rd, Suite A, Chesterton, IN 46304-3387 | 2007-05-22 |
| 1285842963 | Porter Physician Services LLC | Orthopaedic Surgery | 650 Dickinson Rd, Chesterton, IN 46304-3387 | 2007-05-18 |
| 1457566309 | Porter Physician Services LLC | Family Medicine | 3630 Willowcreek Rd, Portage, IN 46368-5075 | 2007-05-14 |
| Street Address |
3220 LANCER ST |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-4495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396845491 | Northern Indiana Occupational Medicine Services LLC | Preventive Medicine | 3220 Lancer St, Portage, IN 46368-4495 | 2006-09-25 |
| 1477852499 | Healtheaccess Clinics L.L.C. | Family Medicine | 3220 Lancer St, Portage, IN 46368-4495 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841306982 | Juvenal Lipana Castillo | Physical Medicine & Rehabilitation | 6172 Chablis Ln, Portage, MI 49024-9005 | 2006-08-22 |
| 1245201177 | John Steven Midmore | Physical Medicine & Rehabilitation | 3156 Willowcreek Rd, Portage, IN 46368 | 2006-01-30 |
| 1710529771 | Comprehensive Rehab Consultants LLC | Physical Medicine & Rehabilitation | 5909 Lute Rd, Portage, IN 46368-4824 | 2019-10-11 |
| 1588756340 | Bryan Dale Visser | Physical Medicine & Rehabilitation | 7901 S 12th St, Suite #200, Portage, MI 49024-3831 | 2006-09-29 |
| 1538142765 | Kenneth K Oh | Physical Medicine & Rehabilitation | 2817 New Pinery Rd., Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867351 | Bryson Platt | Physical Medicine & Rehabilitation | 1150 W 86th St, Indianapolis, IN 46260-2257 | 2020-10-05 |
| 1063037398 | Directed Rehabilitation Services | Physical Medicine & Rehabilitation | 6114 Bartley Dr, Noblesville, IN 46062-6490 | 2020-06-12 |
| 1912549189 | The Mvmt Institute | Physical Medicine & Rehabilitation | 3620 Paoli Pike Ste 1, Floyds Knobs, IN 47119-9787 | 2019-10-09 |
| 1437711785 | Jennifer Lynn Coffeen | Physical Medicine & Rehabilitation | 604 Legacy Plz W, La Porte, IN 46350-5268 | 2019-07-07 |
| 1326603234 | Ruth Galang Mashak | Physical Medicine & Rehabilitation | 3691 N Rhine Trl, La Porte, IN 46350-8403 | 2019-05-06 |
| 1184181331 | Regenerative Health Institute P.C. | Physical Medicine & Rehabilitation | 20 Executive Dr Ste A, Carmel, IN 46032-2988 | 2019-02-25 |
| 1992289524 | Andrea Nicole Nix | Physical Medicine & Rehabilitation | 8051 S Emerson Ave Ste 310, Indianapolis, IN 46237-8600 | 2018-09-19 |
| 1780133736 | Indiana Medical Examinations | Physical Medicine & Rehabilitation | 8005 Oaklandon Rd, Indianapolis, IN 46236-7931 | 2016-09-30 |
| 1457708364 | Jacob Lew Ramsey-morrow | Physical Medicine & Rehabilitation | 355 W 16th St Ste 4300, Indianapolis, IN 46202-2394 | 2016-05-20 |
| 1891157046 | Grenville Rio-john Fernandes | Physical Medicine & Rehabilitation | 6330 E 75th St Ste 110, Indianapolis, IN 46250-2717 | 2016-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.