SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS, INC (NPI# 1538585187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538585187 |
Entity Type | Organization |
Organization Name | SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS, INC |
Other Organization Name | SAINT JOSEPH FOOT AND ANKLE SPORTS MEDICINE INSTITUTE PLYMOUTH |
Practice Address |
1919 Lake Ave Ste 102b Plymouth IN 46563-7830 |
Mailing Address |
707 Cedar St Ste 200 Saint Joseph Physician Network-cbo South Bend IN 46617-2057 |
Practice Telephone | 5743356800 |
Practice Fax Number | 5743350732 |
Mailing Telephone | 5743358700 |
Mailing Fax Number | 5743350760 |
Enumeration Date | 2014-03-06 |
Last Update Date | 2020-04-15 |
Authorized Official Name | MS. LORETTA SCHMIDT (PRESIDENT) |
Authorized Official Telephone | 5749485478 |
Is Organization Subpart | Y |
Parent Organization Name | TRINITY HEALTH CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 300036720 | 05 | |
IN | 201216910A | 05 | |
IN | BCBS | 000000875287 | 01 |
Other Name | Type Code |
---|---|
Saint Joseph Foot and Ankle Sports Medicine Institute Plymouth | Doing Business As Name - Organization |
Saint Joseph Health Center | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
510 W Adams St Ste 150, Plymouth, IN 465631789 | 5743353987 | 5743350850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821402876 | Saint Joseph Regional Medical Center Plymouth Campus, Inc | Internal Medicine | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2014-06-18 |
Street Address |
1919 LAKE AVE STE 102B |
City | PLYMOUTH |
State | IN |
Zip Code | 46563-7830 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780766261 | Saint Joseph Regional Medical Center South Bend Campus, Inc. | Family Medicine | 1919 Lake Ave Ste 102b, Plymouth, IN 46563-7830 | 2006-10-20 |
1477066728 | Karen Renee Hooker | Registered Nurse | 1919 Lake Ave Ste 102b, Plymouth, IN 46563-7830 | 2017-11-08 |
1154735181 | Saint Joseph Regional Medical Center, Inc. | Internal Medicine | 1919 Lake Ave Ste 102b, Plymouth, IN 46563-7830 | 2014-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
Find all providers in zip 46563 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
1215445994 | Jefferson Community Health Center Inc | Family Medicine | 316 N Madison Ave, Ste 200, Plymouth, NE 68424-4110 | 2018-01-17 |
1124551833 | Xpress Urgent Care PC | Family Medicine | 49237 Fox Dr N, Plymouth, MI 48170-5205 | 2017-04-10 |
1952853525 | Ann Curoe | Family Medicine | 10835 38th Pl N, Plymouth, MN 55441-1409 | 2016-10-31 |
1639429558 | Carol Elizabeth Ness | Family Medicine | 1145 Shenandoah Ln N, Plymouth, MN 55447-3201 | 2012-09-18 |
1881953461 | Ronald Carl Skoogberg | Family Medicine | 3025 Harbor Lane, Suite 101, Plymouth, MN 55447-5141 | 2012-05-16 |
1093955700 | Soliman Home Visiting Physicians Pllc | Family Medicine | 12173 Chandler Dr, Plymouth, MI 48170-3193 | 2009-02-20 |
1457508079 | Chaitra Channappa | Family Medicine | 31 Home Depot Dr Ste 283, Plymouth, MA 02360-2669 | 2008-08-26 |
1730365388 | Milton Delin Westberg | Family Medicine | 1010 Wilson St, Plymouth, NC 27962-9185 | 2008-01-14 |
1194849398 | Michael A Martella | Family Medicine | 515 E Mill Street, Plymouth, WI 53073-1807 | 2007-03-16 |
Find all providers in PLYMOUTH |
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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.