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Beacon Medical Group, Inc.
Family Medicine Physician in Goshen, Indiana
NPI 1306863915

Beacon Medical Group, Inc. is a Family Medicine Physician based in South Bend, IN. Beacon Medical Group, Inc. practices in Goshen, IN. The NPI Number for Beacon Medical Group, Inc. is 1306863915 and holds a License No. 06-005017-1 (Indiana).

The current practice location address for Beacon Medical Group, Inc. is 2120 Rieth Blvd Ste A, Goshen, IN and can be reached out via phone at 574-875-5126 and via fax at 574-875-1874.

Location: 2120 Rieth Blvd Ste A, Goshen, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306863915
Provider Name
Beacon Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
2120 Rieth Blvd Ste A, Goshen, IN, 46617-1924
Phone Number
574-875-5126
Fax Number
574-875-1874
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000110758 01 IN ANTHEM BCBS
200116290A 05 IN
institution
Provider Business Practice Location Address Details
Address
2120 Rieth Blvd Ste A
City
Goshen
State
Indiana
Zip
46526-5858
Phone Number
574-875-5126
Fax Number
574-875-1874
person
Provider Business Mailing Address Details
Address
2120 Rieth Blvd Ste A
City
Goshen
State
Indiana
Zip
46526-5858
Phone Number
574-875-5126
Fax Number
574-875-1874
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
06-005017-1 (Indiana)
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
06-005017-1 (Indiana)
Definition
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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