Douglas M Portz MD PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

DP049712 Issued in MI

Legal business name

DOUGLAS M PORTZ MD PC

Practice address

14650 Old Highway Us12
Suite 101
Chelsea, MI 48118

Phone

(734) 475-3979

Fax

(734) 433-4513

NPI assigned

Jan 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas M Portz, MD

Title

Owner

Phone

(734) 475-3979

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1225185945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 OLD HIGHWAY US12",
            "address_2": "SUITE 101",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "48118",
            "telephone_number": "734-475-3979",
            "fax_number": "734-433-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 OLD HIGHWAY US12",
            "address_2": "SUITE 101",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "48118",
            "telephone_number": "734-475-3979",
            "fax_number": "734-433-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS M PORTZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "PORTZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-475-3979",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MI",
            "license": "DP049712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Lekander Dobson, M.D.
• Kayleigh Jo Dodds, CRNA
• Quiara Dones
• Adam C Donnellon, PA-C
• Lori Doran
• Laura Marie Downing, M.D.
• James G Duncan II, D.C.
• Audrey Rose Eakman, MD
• Mackenzie Rose Eggers
• Melissa Ehrman

• Gynecology Physician in Chelsea, MI
• Providers in Chelsea, MI by specialty
• Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.