PORTABLE PODIATRY PLLC NPI 1851744023

NPI Information

  • NPI: 1851744023
  • Provider Name: PORTABLE PODIATRY PLLC
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 219 STATE ST
    HARBOR BEACH, MI
    ZIP 48441
  • Phone: (810) 618-4203

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NPI Details

PORTABLE PODIATRY PLLC is a podiatrist in Harbor Beach, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. PORTABLE PODIATRY PLLC NPI is 1851744023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

219 STATE ST
HARBOR BEACH, MI
ZIP 48441-206
Phone: (810) 618-4203

The provider's authorized official is Simon Mccoy .
The authorized official title is Owner and has the following contact phone number (810) 618-4203.

The enumeration date for this NPI number is 7/22/2016 and was last updated on 7/22/2016.

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
1213E00000XPodiatristYes

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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