| NPI | 1821222829 |
|---|---|
| Doing Business As | BEACON MEDICAL GROUP HOSPITAL SPECIALTIES |
| Doing Business As | BEACON MEDICAL GROUP INTERVENTIONAL RADIOLOGY AND VASCULAR SPECIALISTS |
| Doing Business As | BEACON MEDICAL GROUP INFECTIOUS DISEASE |
| Doing Business As | BEACON MEDICAL GROUP SPECIALISTS GOSHEN |
| Doing Business As | BEACON MEDICAL GROUP SPECIALISTS GRANGER |
| Doing Business As | BEACON MEDICAL GROUP SPECIALISTS BREMEN |
| Doing Business As | BEACON MEDICAL GROUP ENT AND AUDIOLOGY ELKHART |
| Doing Business As | BEACON BONE AND JOINT SPECIALISTS |
| Doing Business As | BEACON MEDICAL GROUP SURGICAL SERVICES ELKHART |
| Doing Business As | BEACON MEDICAL GROUP ENT AND AUDIOLOGY SOUTH BEND |
| Entity Type | Organization |
| Authorized Contact | JEFFREY P. COSTELLO VP/CFO 574-647-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01049858A) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IN 01049858A) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207X00000X Orthopaedic Surgery (Licence: IN 01049858A) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2024-08-28 |