Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Primary Care PC

Organization Family Medicine Physician · NPI 1013029883

Primary Care PC provides Family Medicine Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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