Organization Active NPI

Porter Health Services

Doing business as Portage Medical Group

  • Orthopaedic Surgery Physician
  • Portage, IN
National Provider Identifier
1558322982
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PORTER HEALTH SERVICES
Doing business as
Portage Medical Group
Practice address
3630 Willowcreek Rd
Portage, IN 46368-5075
Phone
(219) 759-5791
Fax
(219) 759-3807
NPI assigned
Mar 28, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

3630 Willowcreek Rd
Portage, IN 46368-5075

Mailing address

26700 Brookpark Road Ext
Suite 1
North Olmsted, OH 44070-3124
Phone (800) 611-6912

Other names 1

  • Portage Medical Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1558322982",
    "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": "3630 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685075",
            "telephone_number": "219-759-5791",
            "fax_number": "219-759-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-09-11",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.