Organization · Type 2 NPI

Activa Health

Obesity Medicine (Preventive Medicine) Physician · Elkhart, IN

NPI number 1417800129 Active

Practice location

234 Waterfall Dr Ste C
Elkhart, IN 46516-3683

Fax (866) 598-4540

Specialties and licenses

TaxonomyCodeLicense
Obesity Medicine (Preventive Medicine) Physician Primary 2083B0002XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Obesity Medicine (Preventive Medicine) Physician: A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilize…

About NPI 1417800129

Activa Health's National Provider Identifier is 1417800129, issued on Feb 20, 2026. The primary taxonomy on file is Obesity Medicine (Preventive Medicine) Physician (2083B0002X), and the practice location is in Elkhart, IN. The record was last updated on Feb 20, 2026.