Organization · Type 2 NPI

Saint Joseph Regional Medical Center, Inc.

Family Medicine Physician · Mishawaka, IN

NPI number 1467406074 Active

Practice location

60101 Bodnar Blvd Ste 100B
Mishawaka, IN 46544-9340

Call (574) 335-8500 Map

Fax (574) 335-0794

Mailing address

5215 Holy Cross Pkwy, Provider Services-Enrollment
Mishawaka, IN 46545-1469

Other practice locations

  • 12563 State Road 23, Granger, IN 46530-9226 · (574) 335-8300
  • 17321 State Road 23, South Bend, IN 46635-1531 · (574) 335-8400
  • 114 N Washington St, Bourbon, IN 46504-1623 · (574) 335-7850
  • 1919 Lake Ave Ste 106, Plymouth, IN 46563-7830 · (574) 335-5220
  • 2349 Lake Ave Ste 100, Plymouth, IN 46563-7836 · (574) 948-5100
  • 2930 W Cleveland Road Ext, South Bend, IN 46628-6090 · (574) 335-8450
  • 1122 S Ironwood Dr, South Bend, IN 46615-1618 · (574) 335-8399
  • 1025 Widener Ln, South Bend, IN 46614-3242 · (574) 335-7600
  • 611 E Douglas Rd Ste 401, Mishawaka, IN 46545-1468 · (574) 335-6242
  • 1919 Lake Ave Ste 110, Plymouth, IN 46563-7830 · (574) 948-5290
  • 506 Michigan St, Walkerton, IN 46574-1116 · (574) 335-5200
  • 209 E Jefferson St, Plymouth, IN 46563-1861 · (574) 948-5100

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Urgent Care Clinic/Center 261QU0200XNone listed
Nurse Practitioner 363L00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed

Family Medicine Physician: 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.

6 other providers at this address

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About NPI 1467406074

Saint Joseph Regional Medical Center, Inc.'s National Provider Identifier is 1467406074, issued on May 19, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mishawaka, IN. The record was last updated on Mar 3, 2026.