Porta-Med, Inc.

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PORTA-MED, INC.

Doing business as

Porta-Med

Practice address

12513 US Highway 250 N
Milan, OH 44846-9546

Phone

(800) 589-2515

Fax

(419) 499-2664

NPI assigned

Aug 17, 2005

Last updated

Aug 27, 2007By 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

Donald B Ballah Jr.

Title

Executive Director

Phone

(419) 663-1367

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Porta-Med Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fisher-Titus Affiliated Services

  dba North Central EMS

  • Land Ambulance
  • Milan, OH
  • NPI 1801904966

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1881686798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12513 US HIGHWAY 250 N",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469546",
            "telephone_number": "800-589-2515",
            "fax_number": "419-499-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12513 US HIGHWAY 250 N",
            "city": "MILAN",
            "state": "OH",
            "postal_code": "448469546",
            "telephone_number": "800-589-2515",
            "fax_number": "419-499-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTA-MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "BALLAH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-663-1367",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0416133",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1275060",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000287994",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porta-Med",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam C Link, D.O.
• Maxim Healthcare Services, Inc.
• Milan Skilled Nursing, LLC (Continuing Healthcare of Milan)
• Milan Skilled Nursing, LLC
• Ashley R Obermeyer
• Melissa Victoria Price, INDEPENDENT DSP
• Belinda Quiggle
• Louis Ralofsky, MD
• Sandra Kay Reed, LPN
• Mandi Rice, M.A., CCC-SLP

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Milan, OH
• Providers in Milan, OH by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.