Active NPI
Porter Group Services, LLC
- Hospitalist Physician
- Portage, IN
National Provider Identifier
1346616646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- PORTER GROUP SERVICES, LLC
- Practice address
- 3630 Willowcreek Rd
Portage, IN 46368-5075 - Phone
- (219) 364-3000
- NPI assigned
- Aug 20, 2015
- Last updated
- Mar 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher Brian Durham
- Title
- President
- Phone
- (770) 874-5400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | NU | Primary |
Addresses
Primary practice location
3630 Willowcreek Rd
Portage, IN 46368-5075
Mailing address
5665 New Northside Dr
Suite 320
Atlanta, GA 30328-5831
Phone (770) 874-5400
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488499200000",
"number": "1346616646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5665 NEW NORTHSIDE DR",
"address_2": "SUITE 320",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285831",
"telephone_number": "770-874-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 WILLOWCREEK RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463685075",
"telephone_number": "219-364-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTER GROUP SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-20",
"last_updated": "2017-03-03",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-874-5400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, IN
- Connie Ponce de Leon
- Cara Anne Popenhagen, R.N.
- Portage Health Center Occupational Health
- Portage Heart Care PC
- Portage Township Schools
- Porter Health Services (Portage Medical Group)
- Porter Hospital LLC (Northwest Health-Porter)
- Porter Physician Services LLC (Porter Occupational Medicine)
- Porter Physician Services LLC
- Porter Starke Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.