Porter Physician Services LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PORTER PHYSICIAN SERVICES LLC

Practice address

3220 Lancer St
Portage, IN 46368-4495

Phone

(219) 764-8439

Fax

(219) 764-8463

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Gary D Newsome

Title

President

Phone

(615) 465-7000

Specialties & licenses 1

Addresses

Other names 1

• Porter Occupational Medicine Doing business as

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376744664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2028",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685528",
            "telephone_number": "219-763-6858",
            "fax_number": "219-763-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 LANCER ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684495",
            "telephone_number": "219-764-8439",
            "fax_number": "219-764-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porter Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Porter Starke Services
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• Jamar Porter
• Marissa Powell

• 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 Jul 21, 2022; 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.