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Beacon Medical Group, Inc.
Family Nurse Practitioner in South Bend, Indiana
NPI 1881971505

Beacon Medical Group, Inc. is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Beacon Medical Group, Inc. practices in South Bend, IN. The NPI Number for Beacon Medical Group, Inc. is 1881971505 and holds a License No. (Indiana).

The current practice location address for Beacon Medical Group, Inc. is 610 N Michigan St Ste 306, South Bend, IN and can be reached out via phone at 574-647-6500 and via fax at 574-647-6518.

Location: 610 N Michigan St Ste 306, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881971505
Provider Name
Beacon Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
610 N Michigan St Ste 306, South Bend, IN, 46617-1924
Phone Number
574-647-6500
Fax Number
574-647-6518
Provider Enumeration Date
11/09/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201041690A 05 IN
institution
Provider Business Practice Location Address Details
Address
610 N Michigan St Ste 306
City
South Bend
State
Indiana
Zip
46601-1079
Phone Number
574-647-6500
Fax Number
574-647-6518
person
Provider Business Mailing Address Details
Address
610 N Michigan St Ste 306
City
South Bend
State
Indiana
Zip
46601-1079
Phone Number
574-647-6500
Fax Number
574-647-6518
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
()
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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