PORTER PHYSICIAN SERVICES LLC NPI 1508075680

NPI Information

  • NPI: 1508075680
  • Provider Name: PORTER PHYSICIAN SERVICES LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 15D0355872
  • Address: 85 E US HIGHWAY 6
    VALPARAISO, IN
    ZIP 46383
  • Phone: (219) 983-6380

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NPI Details

PORTER PHYSICIAN SERVICES LLC is a family medicine in Valparaiso, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PORTER PHYSICIAN SERVICES LLC NPI is 1508075680. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

85 E US HIGHWAY 6
VALPARAISO, IN
ZIP 46383-947
Phone: (219) 983-6380
Fax: (219) 983-6080

The provider's authorized official is Kristina Music .
The authorized official title is Director, Provider Enrollment and has the following contact phone number (877) 892-9815.

The CLIA number assigned to this NPI record is 15D0355872 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 6/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineNo
2207X00000XOrthopaedic SurgeryNo
3208800000XUrologyNo
4363L00000XNurse Practitioner28143009AINDIANANo
5207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100388930MEDICAIDINDIANA
2DG1244OTHERINDIANARR MCR
3113435OTHERINDIANAANTHEM MEDICAID
45251392OTHERINDIANAAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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