Organization · Type 2 NPI

Beacon Medical Group, Inc.

Family Medicine Physician · Elkhart, IN

NPI number 1639196249 Active

Practice location

3301 County Road 6 E
Elkhart, IN 46514-7673

Call (574) 264-9635 Map

Fax (574) 262-0398

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Nephrology Physician	207RN0300X	None listed
Orthopaedic Surgery Physician	207X00000X	None listed
Foot & Ankle Surgery Podiatrist	213ES0103X	None listed
Family Nurse Practitioner	363LF0000X	None 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.

14 other providers at this address

Other family medicine physician providers in Elkhart

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NPI record

NPI: 1639196249
Entity type: Organization (Type 2)
Issued: Jul 17, 2006
Last updated: Feb 5, 2025
Status: Active

Other names

<unavail>
Beacon Medical Group-Elkhart East · doing business as
Beacon Medical Group-Elkhart East · doing business as

Authorized official

Mr. Jeffrey P Costello
CFO
(574) 647-3549

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1639196249

Beacon Medical Group, Inc.'s National Provider Identifier is 1639196249, issued on Jul 17, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Elkhart, IN. The record was last updated on Feb 5, 2025.