Porter Health Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PORTER HEALTH SERVICES

Practice address

1101 Glendale Blvd
Valparaiso, IN 46383-3767

Phone

(216) 464-0232

Fax

(219) 759-3807

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Cheryl Hammond

Title

Cfo

Phone

(219) 364-3660

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glendale Medical Lab Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Allen Babcoke, MD

  • Family Medicine Physician
  • Chesterton, IN
  • NPI 1043271356
  NPD (past)
• Natalie Joan Eddy, NP

  • Nurse Practitioner
  • Chesterton, IN
  • NPI 1114988706
  NPD (past)
• Patrick Daniel Fleming, MD

  • Family Medicine Physician
  • Valparaiso, IN
  • NPI 1669433256
  NPD (past)
• Heather Stephanie Hazel, MD

  • Family Medicine Physician
  • La Porte, IN
  • NPI 1912968504
  NPD (past)
• Joel Irvin Hull, MD

  • Family Medicine Physician
  • Chesterton, IN
  • NPI 1154383693
  NPD (past)
• Daniela Mitko Sikoski, MD

  • Internal Medicine Physician
  • Valparaiso, IN
  • NPI 1932160215
  NPD (past)
• Candice Michelle Yu-Fleming, MD

  • Family Medicine Physician
  • Portage, IN
  • NPI 1780645093
  NPD (past)
• John Hoon Lee, MD

  • Orthopaedic Surgery Physician
  • Bolingbrook, IL
  • NPI 1700847308
  NPD (past)
• Jonathan David Wigderson, DO

  • Orthopaedic Surgery Physician
  • Utica, NY
  • NPI 1073574679
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477514867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26700 BROOKPARK ROAD EXT",
            "address_2": "SUITE 1",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703124",
            "telephone_number": "800-611-6912",
            "fax_number": "440-716-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "216-464-0232",
            "fax_number": "219-759-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "219-364-3660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000286384",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendale Medical Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Porter County Physical Med Rehab
• Porter County Pulmonary and Critical Care Medicine P.C.
• Porter Emergency Group, PC
• Porter Group Services, LLC
• Porter Health Service
• Porter Health Services, LLC.
• Porter Hospital LLC
• Porter Hospital LLC
• Porter Neonatal Group
• Porter Physician Services LLC

• All providers in Valparaiso, IN
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.