Portage Heart Care PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PORTAGE HEART CARE PC

Practice address

6375 US Highway 6
Suite B
Portage, IN 46368

Phone

(219) 762-0400

Fax

(219) 762-2460

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Abdul Kawamleh, MD

Title

MD

Phone

(219) 762-0400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1649201351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 US HIGHWAY 6",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "46368",
            "telephone_number": "219-762-0400",
            "fax_number": "219-762-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 US HIGHWAY 6",
            "address_2": "SUITE B",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "46368",
            "telephone_number": "219-762-0400",
            "fax_number": "219-762-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE HEART CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "KAWAMLEH",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "219-762-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200293540A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul C Pollachek, RN,BS
• Kelly Pollard, AGACNP
• Connie Ponce de Leon
• Cara Anne Popenhagen, R.N.
• Portage Health Center Occupational Health
• Portage Township Schools
• Porter Group Services, LLC
• Porter Health Services
• Porter Hospital LLC
• Porter Physician Services LLC

• Cardiovascular Disease Physician in Portage, IN
• Providers in Portage, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.