OrganizationActive
Panacea Portal LLC
NPI 1003559675 · Contractor · Burton, MI
Panacea Portal LLC is a Contractor organization in Burton, MI (NPI 1003559675).
Provider details
- NPI number
- 1003559675
- Entity type
- Organization
- Primary specialty
- ContractorOther Service Providers
- Organization subpart
- No
- Authorized official
- Brian Rouse, President(248) 509-4774
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6457 Hickory Ln
Burton, MI 48509-9303
Phone: (248) 509-4774
Street-level locationGet directions
Mailing address
6457 Hickory Ln
Burton, MI 48509-9303
Registry dates
- Enumerated
- 2022-04-20
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Frequently asked questions
- What is Panacea Portal LLC's NPI number?
- Panacea Portal LLC's National Provider Identifier (NPI) is 1003559675, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Panacea Portal LLC?
- Panacea Portal LLC is classified in the NPPES registry as Contractor (Other Service Providers).
- Where is Panacea Portal LLC located?
- Panacea Portal LLC's practice location on file with NPPES is 6457 Hickory Ln, Burton, MI 48509-9303.
- What is Panacea Portal LLC's phone number?
- The practice phone number listed in the NPPES registry for Panacea Portal LLC is (248) 509-4774.
- Who is the authorized official for Panacea Portal LLC?
- The authorized official listed on Panacea Portal LLC's NPPES record is Brian Rouse, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Panacea Portal LLC's NPI active?
- Yes — Panacea Portal LLC's NPI (1003559675) is active in the NPPES registry as of the last update on 2022-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.