Saint Joseph Regional Medical Center, Inc. is a Pediatric Nurse Practitioner based in Mishawaka, IN and is specialized in Pediatrics. Saint Joseph Regional Medical Center, Inc. practices in Mishawaka, IN. The NPI Number for Saint Joseph Regional Medical Center, Inc. is 1467406074 and holds a License No. (Indiana).
The current practice location address for Saint Joseph Regional Medical Center, Inc. is 60101 Bodnar Blvd Ste 100B, Mishawaka, IN and can be reached out via phone at 574-335-8500 and via fax at 574-335-0794.
Location: 60101 Bodnar Blvd Ste 100B, Mishawaka, IN, 46545-1469
Provider Profile Details
NPI Number
1467406074
Provider Name
Saint Joseph Regional Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
60101 Bodnar Blvd Ste 100B, Mishawaka, IN, 46545-1469
Phone Number
574-335-8500
Fax Number
574-335-0794
Provider Enumeration Date
05/19/2006
Last Update Date
11/16/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100461640H | 05 | IN | |
| 200041520D | 05 | IN | |
| 300000754 | 05 | IN | |
| 100461640F | 05 | IN | |
| 100382620A | 05 | IN | |
| 021236800 | 01 | IN | FEDERAL BLACK LUNG |
| 100173780A | 05 | IN | |
| 100461640D | 05 | IN | |
| 100461640G | 05 | IN | |
| 300046748 | 05 | IN | |
| 300086087 | 05 | IN | |
| CJ6650 | 01 | IN | RR MEDICARE |
| 200045130A | 05 | IN | |
| 100461640B | 05 | IN | |
| 100461640E | 05 | IN |
Provider Business Practice Location Address Details
Address
60101 Bodnar Blvd Ste 100B
City
State
Zip
46544-9340
Phone Number
574-335-8500
Fax Number
574-335-0794
Provider Business Mailing Address Details
Address
60101 Bodnar Blvd Ste 100B
City
State
Zip
46544-9340
Phone Number
574-335-8500
Fax Number
574-335-0794
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
License No.
()
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
()
Definition
Definition to come...
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