Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790017176 Individual Practitioner Male Practitioner

Dr. Michael John Portonova , DC

Chiropractor • Hazleton, PA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Portonova, DC is a registered healthcare professional specializing in Chiropractor in Hazleton, PA. Practice services are available at 943 NORTH CHURCH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

943 North Church Street

Hazleton, PA 18201

Telephone 5704011916
Associated Practice Facility / Clinic
🏢 Stephen M Wolk Md Pc Facility NPI 1710909825

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Hazleton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.4 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Hazleton, PA (4175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License PA DC 010381

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh
12215846

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 21, 2015

Registered at 943 NORTH CHURCH STREET, HAZLETON, PA 18201 (Tel: 5704011916)

📍
Updated Business Mailing Address October 21, 2015

Registered at 943 N CHURCH ST, HAZLETON, PA 182011800 (Tel: 5708618502)

👤
Provider Name / Credentials Updated October 21, 2015

Recorded as MICHAEL PORTONOVA, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2015

Chiropractor (License #DC 010381 in PA)

🟢
Initial NPI Registration & Enumeration February 09, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790017176
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2010
Last Update: October 21, 2015
Sole Proprietor: Yes

Mailing Address

943 N Church St

Hazleton, PA 182011800

Phone: 5708618502

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.