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Saint Joseph Regional Medical Center Plymouth Campus, Inc
Nurse Practitioner in Plymouth, Indiana
NPI 1821402876

Saint Joseph Regional Medical Center Plymouth Campus, Inc is a Nurse Practitioner based in Mishawaka, IN. 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 1821402876 and holds a License No. (Indiana).

The current practice location address for Saint Joseph Regional Medical Center Plymouth Campus, Inc is 1915 Lake Ave, Plymouth, IN and can be reached out via phone at 574-948-4000 and via fax at 574-948-5454.

Location: 1915 Lake Ave, Plymouth, IN, 46545-1469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821402876
Provider Name
Saint Joseph Regional Medical Center Plymouth Campus, Inc
Credential
Provider Entity Type
Organization
Address
1915 Lake Ave, Plymouth, IN, 46545-1469
Phone Number
574-948-4000
Fax Number
574-948-5454
Provider Enumeration Date
06/18/2014
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201268050A 05 IN
000000880530 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
1915 Lake Ave
City
Plymouth
State
Indiana
Zip
46563-9366
Phone Number
574-948-4000
Fax Number
574-948-5454
person
Provider Business Mailing Address Details
Address
1915 Lake Ave
City
Plymouth
State
Indiana
Zip
46563-9366
Phone Number
574-948-4000
Fax Number
574-948-5454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
()
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
()
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Hospitalist
Speciality
-
Taxonomy
208M00000X
License No.
()
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
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.
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