Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WILLIE CARSON SR.
Active Sole ProprietorMR. WILLIE CARSON SR. is a Podiatric Surgery healthcare provider located in PORTAGE, Indiana. NPI 1174311674 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · PORTAGE, IN
Registration Details
- NPI Number
- 1174311674
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2025 (1.3184783232941 yrs)
- Last Updated
- Apr 25, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
2730 LOIS ST # 1PORTAGE, IN, 463683532Browse IN providers · Browse ZIP 46368
- Phone
- 2196543019
- Fax
- 2194060162
- Primary Specialty
-
Podiatric Surgery
3747A0650X
- Additional Specialty
- Podiatric Surgery
Other Podiatric Surgery Providers in PORTAGE, IN
| Name | Credential | NPI |
|---|---|---|
| LATRESA RENEE SIMS | — | 1366041121 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.