Saint Joseph Regional Medical Center Plymouth Campus, Inc is a Family Nurse Practitioner based in Mishawaka, IN and is specialized in Family. Saint Joseph Regional Medical Center Plymouth Campus, Inc practices in Plymouth, IN. The NPI Number for Saint Joseph Regional Medical Center Plymouth Campus, Inc is 1538585187 and holds a License No. (Indiana).
The current practice location address for Saint Joseph Regional Medical Center Plymouth Campus, Inc is 1919 Lake Ave Ste 102B, Plymouth, IN and can be reached out via phone at 574-335-6800 and via fax at 574-948-5480.
Location: 1919 Lake Ave Ste 102B, Plymouth, IN, 46545-1469
Provider Profile Details
NPI Number
1538585187
Provider Name
Saint Joseph Regional Medical Center Plymouth Campus, Inc
Credential
Provider Entity Type
Organization
Address
1919 Lake Ave Ste 102B, Plymouth, IN, 46545-1469
Phone Number
574-335-6800
Fax Number
574-948-5480
Provider Enumeration Date
03/06/2014
Last Update Date
11/16/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000875287 | 01 | IN | BCBS |
| 300036720 | 05 | IN | |
| 201216910A | 05 | IN |
Provider Business Practice Location Address Details
Address
1919 Lake Ave Ste 102B
City
State
Zip
46563-7830
Phone Number
574-335-6800
Fax Number
574-948-5480
Provider Business Mailing Address Details
Address
1919 Lake Ave Ste 102B
City
State
Zip
46563-7830
Phone Number
574-335-6800
Fax Number
574-948-5480
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
Family Medicine
Speciality
Sports Medicine
Taxonomy
License No.
()
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Provider's Taxonomy Details 3
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 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
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Sports Medicine
Taxonomy
License No.
()
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Provider's Taxonomy Details 6
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Provider's Taxonomy Details 7
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
()
Definition
Definition to come...
Provider's Taxonomy Details 8
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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