Vormohr Medical Center

Organization Active NPI Family Medicine Physician · Portland, IN

NPI 1508864091 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1508864091
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
VORMOHR MEDICAL CENTER
Practice address
1758 W 100 S
Portland, IN 47371-8204
Phone
(260) 726-7616
Fax
(260) 726-8165
NPI assigned
Jul 8, 2005
Organization subpart
No

Authorized official

Name
J Frank Vormohr, MD NPI 1033117726
Title
President/VMC
Phone
(260) 726-7616

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 5

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X IN Yes

Addresses

Primary practice location

1758 W 100 S
Portland, IN 47371-8204

Mailing address

1758 W 100 S
Portland, IN 47371-8204
Phone (260) 726-7616

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508864091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 W 100 S",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473718204",
            "telephone_number": "260-726-7616",
            "fax_number": "260-726-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 W 100 S",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473718204",
            "telephone_number": "260-726-7616",
            "fax_number": "260-726-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VORMOHR MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VORMOHR",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT/VMC",
        "authorized_official_telephone_number": "260-726-7616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, IN

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Sources for this page

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