John Steven Midmore, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

01040887A Issued in IN

Practice address

3156 Willowcreek Rd
Portage, IN 46368

Phone

(219) 548-5999

NPI assigned

Jan 30, 2006

Last updated

Oct 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J S Midmore MD PC

  dba John Steven Midmore MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Portage, IN
  • NPI 1093927063
  Authorized official Same address or phone
• PMR Virginia Holding, LLC

  dba Jencare Senior Medical Centers of Virginia

  • Specialist
  • Miami Gardens, FL
  • NPI 1083167001
  NPD

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1245201177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1873",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463841873",
            "telephone_number": "219-476-0352",
            "fax_number": "219-531-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "46368",
            "telephone_number": "219-548-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDMORE",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01040887A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Meredith
• Kelleen Merrell, IBCLC
• Louis Miceli, DO
• Bethany Michielsen, FNP-C
• Michigan City Family Dentistry (Portage Dental Rehab Center)
• Midwest Express Care 4 LLC
• Midwest Express Care 4, LLC
• Miller's Health Systems, Inc. (Miller's Senior Living Community)
• Baqhar Mohideen, MD
• Jennifer Eunice Mola

• Physical Medicine & Rehabilitation Physician in Portage, IN
• Providers in Portage, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.