Portage Family Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTAGE FAMILY MEDICINE, INC

Practice address

9480 Rosemont Dr
Suite 100
Streetsboro, OH 44241-4569

Phone

(330) 626-5566

Fax

(330) 626-2042

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lora J Haver

Title

Practice Administrator

Phone

(330) 626-5566

Specialties & licenses 1

Addresses

Other identifiers 1

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 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherri L Barr, MD

  • Family Medicine Physician
  • Streetsboro, OH
  • NPI 1487640421
  NPD
• John Charles Foss, MD

  • Family Medicine Physician
  • Streetsboro, OH
  • NPI 1205822624
  NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609968726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 ROSEMONT DR",
            "address_2": "SUITE 100",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414569",
            "telephone_number": "330-626-5566",
            "fax_number": "330-626-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 ROSEMONT DR",
            "address_2": "SUITE 100",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414569",
            "telephone_number": "330-626-5566",
            "fax_number": "330-626-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVER",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-626-5566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0796116",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Pirko
• Gregory Paul Plazek Sr.
• Jeanine Ann Pleasant
• Christina Zita Poecze, P.T.
• Jaysie Lynn Popovich, CNP
• Ryan Prather, PHARMD, RPH
• Precision Trauma Therapy Center LLC
• Raquel Rosenberg Rapkin, PSY.D.
• Jennifer Rath
• Tina Reaoch, LPTA

• Family Medicine Physician in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Family Medicine Physician in Ohio

• 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.