Organization · Type 2 NPI

Saint Joseph Regional Medical Center-South Bend Campus, Inc.

Family Medicine Physician · Mishawaka, IN

NPI number 1780766261 Active

Practice location

611 E Douglas Rd, Ste 407, Family Medicine Center Of Sjrmc
Mishawaka, IN 46545-1468

Call (574) 335-6500 Map

Fax (574) 335-0772

Mailing address

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

Other practice locations

  • 611 E Douglas Rd, Ste 101, Saint Joseph Foot And Ankle Center, Mishawaka, IN 46545-1464 · (574) 335-6800
  • 611 E Douglas Rd, Ste 137, Sports Medicine Institute, Mishawaka, IN 46545-1464 · (574) 335-6214

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Sports Medicine (Family Medicine) Physician 207QS0010XNone listed
Maternal & Fetal Medicine Physician 207VM0101XNone listed
Orthopaedic Foot and Ankle Surgery Physician 207XX0004XNone listed
Podiatrist 213E00000XNone listed
Foot & Ankle Surgery Podiatrist 213ES0103XNone 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.

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About NPI 1780766261

Saint Joseph Regional Medical Center-South Bend Campus, Inc.'s National Provider Identifier is 1780766261, issued on Oct 20, 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 9, 2026.