Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Primary Care PC

Organization Family Medicine Physician · NPI 1013029883

Primary Care PC is a Family Medicine Physician in Portage, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3125 Willowcreek Rd
Portage, IN 46368
Phone: (219) 762-3175
Fax: (219) 763-3092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 50004219A (IN)

Record details

NPI number1013029883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Blumenthal — President · (219) 762-3175
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 7, 2008
Mailing address3125 Willowcreek Road, Portage, IN 46368

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