Organization · Type 2 NPI
Beacon Medical Group, Inc.
Otolaryngology/Facial Plastic Surgery Physician · Elkhart, IN
NPI number
1295087500
Active
Practice location
1753 Fulton St
Elkhart, IN 46514-1927
Fax (574) 293-9480
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Other practice locations
- 1753 Fulton St, Elkhart, IN 46514-1927 · (574) 293-9448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | None listed |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
| Audiologist | 231H00000X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
8 other providers at this address
- Adam James Tyler, APRNNurse Practitioner Elkhart, IN NPI 1174298764
- Alexa M. Rozycki, AUDAudiologist Elkhart, IN NPI 1881440022
- Andrea Leslie Gentile, MDOtolaryngology Physician Elkhart, IN NPI 1942664784
- Courtney Elizabeth Hart, AUDAudiologist Elkhart, IN NPI 1861919888
- Elizabeth Marie Stockwell, AUDAudiologist Elkhart, IN NPI 1871332353
- James R. Miller, MDGeneral Practice Physician Elkhart, IN NPI 1215936737
- Jordan Leigh Bergstrom, AU.D.Audiologist Elkhart, IN NPI 1750941779
- Kaelyn ShivelyAudiologist Elkhart, IN NPI 1689570285
About NPI 1295087500
Beacon Medical Group, Inc.'s National Provider Identifier is 1295087500, issued on Oct 10, 2012. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Elkhart, IN. The record was last updated on Oct 12, 2017.