| NPI | 1821222829 |
|---|---|
| Doing Business As | BEACON MEDICAL GROUP SPECIALISTS CENTENNIAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P. COSTELLO VP/CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01049858A) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208M00000X Hospitalist (Licence: IN 01049858A) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2025-01-20 |