ST JOSEPH PRIMARY LLC


Address: 615 Saint Joseph Dr, Kokomo, IN 46901-1890
Phone: 7652360610

ST JOSEPH PRIMARY LLC (NPI# 1265489975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265489975
Entity Type Organization
Organization Name ST JOSEPH PRIMARY LLC
Other Organization Name KOKOMO GASTROENTEROLOGY & HEPATOLOGY
Practice Address 615 Saint Joseph Dr
Kokomo
IN 46901-1890
Practice Telephone 7652360610
Mailing Telephone 7652360610
Enumeration Date 2006-05-28
Last Update Date 2007-11-16
Authorized Official Name ANDREW KELLAR (REGIONAL PRACTICE ADMINISTRATOR)
Authorized Official Telephone 7654578381
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
0104783A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 20031200F 05

Other Provider/Organization Names

Other Name Type Code
Kokomo Gastroenterology & Hepatology Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1073569364 St Joseph Primary LLC Family Medicine 5111 Clinton Dr, Kokomo, IN 46902-7136 2006-05-26
1104866136 St Joseph Primary LLC Family Medicine 3109 W Sycamore St, Kokomo, IN 46901-4026 2006-06-07
1477590164 St Joseph Primary LLC Family Medicine 188 E Southway Blvd, Kokomo, IN 46902-3650 2006-06-01
1780631812 St Joseph Primary LLC Legal Medicine 712 W Main St, Greentown, IN 46936-1045 2006-05-27
1982650164 St Joseph Primary LLC Pediatrics 3109 W Sycamore St, Kokomo, IN 46901-4026 2006-05-26

Office Location

Street Address 615 SAINT JOSEPH DR
City KOKOMO
State IN
Zip Code 46901-1890

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1871088369 Hope Behavioral Servies, LLC Behavioral Analyst 924 Clark St, Kokomo, IN 46901 2018-06-27
1255782306 Forefront Dermatology, S.c. Dermatology 2130 W Sycamore St Ste 200, Kokomo, IN 46901 2016-06-29
1164860706 Renee Michelle Brown Registered Nurse 2776 Amberwood Place, Kokomo, IN 46901 2013-06-05
1063642916 Michelle K Rush Speech-Language Pathologist 2532 Lauren Ln, Kokomo, IN 46901 2009-07-24
1396957189 Lifetime Dental Care of In, PC Dentist 927 S Washington St, Kokomo, IN 46901 2007-05-04
1245458355 Wagoner Medical Center, LLC Internal Medicine 2016 W Sycamore, Kokomo, IN 46901 2007-04-23
1053442723 Jesusa Salhieh Contractor Genesis Rehab Bloom, Kokomo, IN 46901 2007-03-07
1740382928 Donald A Fantuzzo Dds PC Dentist 2196 W Sycamore St, Kokomo, IN 46901 2006-09-01
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295739969 Jatinder N Kaushal Internal Medicine 315 W Lincoln Rd, Kokomo, IN 46902-3558 2005-06-09
1649424946 Board of Trustees of Howard Community Hospital Internal Medicine 3611 S Reed Rd, Suite 211, Kokomo, IN 46902-3828 2008-11-13
1386848133 Jatinder N Kaushal Md Inc Internal Medicine 315 W Lincoln Rd, Suite A, Kokomo, IN 46902-3851 2007-06-14
1174606578 Navjot Singh Md PC Internal Medicine 3611 S Reed Rd, Suite 211, Kokomo, IN 46902-3828 2006-10-23
1649223272 Changjian Chen Internal Medicine 3611 S Reed Rd, Suite 108, Kokomo, IN 46902-3806 2006-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710486295 Gastro Md, LLC Internal Medicine 625 Richland Way, Westfield, IN 46074-9054 2018-02-09
1790137115 Abdinoor Medical LLC Internal Medicine 1819 Braemar Dr, Fort Wayne, IN 46814-9364 2016-07-09
1538578018 Shail Sheth Internal Medicine 3903 S 7th St Ste 2f, Terre Haute, IN 47802-5710 2014-08-08
1992113245 Unity Healthcare, LLC Internal Medicine 1345 Unity Pl Ste 110, Lafayette, IN 47905-5768 2014-07-31
1265773113 Michael Sai Lai Sey Internal Medicine 550 N. University Blvd, Suite 4100, Indiana University Hospital, Indianapolis, IN 46202 2013-03-01
1649531062 Kavish Rohit Patidar Internal Medicine 702 Rotary Cir Ste 225, Indianapolis, IN 46202-5133 2012-06-01
1265726673 Digestive Healthcare Specialists LLC Internal Medicine 8865 W 400 N Ste 155, Michigan City, IN 46360-9010 2011-06-02
1033442991 Dana Charles Moffatt Internal Medicine 359 N West St, Apt 284, Indianapolis, IN 46202-4207 2009-09-10
1134356173 Robert G. Overstreet Internal Medicine 348 Bohart Ln, Charlestown, IN 47111-1606 2009-06-17
1003057993 John Charles Lowe Sr. Internal Medicine 10912 300 Yard Dr, Fishers, IN 46037-9306 2009-03-23
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Competitor

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City KOKOMO
Zip Code 46901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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