# PORTER PHYSICIAN SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508075680
- **Authorized official:** KRISTINA MUSIC (DIRECTOR, PROVIDER ENROLLMENT)
- **Authorized official phone:** (877) 892-9815

## Contact information

- **Practice address:** 85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
- **Practice address phone:** (219) 983-6380
- **Practice address fax:** (219) 983-6080
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 465-7402
- **Mailing address fax:** (615) 465-6286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 363L00000X | Nurse Practitioner | 28143009A | IN | — |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 06/26/2025