PORTER NEONATAL GROUP


Address: 814 Laporte Ave, Valparaiso, IN 46383-5860
Phone: 2192634600

PORTER NEONATAL GROUP (NPI# 1912296682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912296682
Entity Type Organization
Organization Name PORTER NEONATAL GROUP
Practice Address 814 Laporte Ave
Valparaiso
IN 46383-5860
Mailing Address 2304 Kossuth St
Lafayette
IN 47904-3240
Practice Telephone 2192634600
Mailing Telephone 7654469600
Mailing Fax Number 7654461100
Enumeration Date 2011-04-04
Last Update Date 2011-05-25
Authorized Official Name ROSARIO CHUA (PRESIDENT)
Authorized Official Telephone 7654469600
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201016330A 05

Office Location

Street Address 814 LAPORTE AVE
City VALPARAISO
State IN
Zip Code 46383-5860

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831182765 Robert Brian Mcbride Pathology 814 Laporte Ave, Porter Memorial Hospital, Valparaiso, IN 46383-5860 2005-08-25
1083976153 Joel Tonagel Nurse Anesthetist, Certified Registered 814 Laporte Ave, Valparaiso, IN 46383 2012-06-13
1881852507 Pathology Consultants Inc Pathology 814 Laporte Ave, Valparaiso, IN 46383-5860 2008-05-29
1629103080 Mohammed Hafeez Anesthesiology 814 Laporte Ave, Valparaiso, IN 46383-5860 2007-02-23
1801943725 Porter Ambulance 814 Laporte Ave, Valparaiso, IN 46383-5860 2007-01-04
1558435503 Tim Whestel Md Internal Medicine 814 Laporte Ave, Valparaiso, IN 46383-5860 2006-11-20
1306910344 Tim Whetsel Internal Medicine 814 Laporte Ave, Valparaiso, IN 46383-5860 2006-11-20
1396821732 Yacoub Massuda Anesthesiology 814 Laporte Ave, Valparaiso, IN 46383-5860 2006-10-28
1639280365 Samara Ellen Kester Emergency Medicine 814 Laporte Ave, Valparaiso, IN 46383-5860 2006-08-31
1780795328 Joseph M Marovich Emergency Medicine 814 Laporte Ave, Valparaiso, IN 46383-5860 2006-08-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962860 Andrea Abbett Pharmacist 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 2020-11-03
1144868043 Callan Gannon Jones Registered Nurse 83 E Us-6 Frontage Road, Valparaiso, IN 46383 2019-12-11
1972163806 Melissa E Valtierra Counselor 204 Valparaiso St, Valparaiso, IN 46383 2019-06-13
1003472721 Roman Podiatry Partners Inc Podiatrist 2308 N. Roosevelt, Valparaiso, IN 46383 2019-05-17
1831654680 Mark Esiyeden Driver 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 2019-02-06
1770062663 The Dialysis Center of Valparaiso LLC Clinic/Center 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 2018-08-10
1285112334 Tricia Louise Burkins Nurse Practitioner 1861 South Sturdy Road, Valparaiso, IN 46383 2018-08-01
1598262388 Elizabeth R Kozak Physical Therapist 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 2018-04-09
1588160725 Innovative Counseling Solutions LLC Social Worker 8 Morgan Street, Valparaiso, IN 46383 2018-04-05
1275034860 Meijer Stores Limited Partnership Durable Medical Equipment & Medical Supplies 405 Porters Vale Boulevard, Valparaiso, IN 46383 2018-02-28
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053572578 Carol Lynn Berseth Pediatrics 401 Park Plaza Dr, Evansville, IN 47715-3632 2008-06-18
1992831861 Rex G Bickers Pediatrics 3511 Lafayette Pkwy, Floyds Knobs, IN 47119-9760 2007-02-26
1275679433 Cheryl Annette Eads Pediatrics 887 N Gardner St Ste A, Scottsburg, IN 47170-1457 2007-01-29
1730234071 Northern Indiana Neonatal Associates, PC Pediatrics 3221 Covington Lake Dr, Fort Wayne, IN 46804-2515 2007-01-25
1659391506 Gregory Robert Warda Pediatrics 2304 Kossuth St, Billing Office, Lafayette, IN 47904-3240 2006-07-20
1053301143 Caroline Ann Maylock Pediatrics 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 2005-10-28
1619965803 Mary Jo Stine Pediatrics 35 Bob Babbs Dr, Spencer, IN 47460-6828 2005-10-11
1538688163 Coutinho PC Pediatrics 3901 S 7th St, Terre Haute, IN 47802-5709 2017-09-14
1366892192 Jennifer L Connell Pediatrics 705 Riley Hospital Dr, Rr208, Indianapolis, IN 46202-5109 2016-06-13
1366897605 Nicholas Theodore Severyn Pediatrics 699 Riley Hospital Drive, Rr 208, Indianapolis, IN 46202-5119 2016-04-24
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Competitor

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City VALPARAISO
Zip Code 46383

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Dataset Information

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.

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