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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
0104783A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 20031200F | 05 |
Other Name | Type Code |
---|---|
Kokomo Gastroenterology & Hepatology | Doing Business As Name - Organization |
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 |
Street Address |
615 SAINT JOSEPH DR |
City | KOKOMO |
State | IN |
Zip Code | 46901-1890 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
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 |
Find all providers in zip 46901 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.