Organization · Type 2 NPI

Porter Health Services

Orthopaedic Surgery Physician · Portage, IN

NPI number 1558322982 Active

Practice location

3630 Willowcreek Rd
Portage, IN 46368-5075

Call (219) 759-5791 Map

Fax (219) 759-3807

Mailing address

26700 Brookpark Road Ext, Suite 1
North Olmsted, OH 44070-3124

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Orthopaedic Surgery Physician Primary 207X00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1558322982

Porter Health Services's National Provider Identifier is 1558322982, issued on Mar 28, 2006. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Portage, IN. The record was last updated on Sep 11, 2025.