Individual provider · Type 1 NPI

Reegan Paige Stump, PA-C

Physician Assistant · South Bend, IN

NPI number 1700615424 Active

Practice location

211 N Eddy St
South Bend, IN 46617-3096

Call (574) 233-7337 Map

Mailing address

801 Bainbridge Pl
Goshen, IN 46526-5528

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X10004466A (IN)
Physician Assistant Primary 363A00000X10004466A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1700615424

Reegan Paige Stump, PA-C's National Provider Identifier is 1700615424, issued on Jul 31, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in South Bend, IN. The record was last updated on Aug 21, 2026.