Beacon Medical Group Urogynecology And Gynecology

LBN: Beacon Medical Group, Inc.
Beacon Medical Group Urogynecology And Gynecology is an health care organization with primary practice located at 500 Arcade Ave Ste 320 , Elkhart IN 46514-2477. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Beacon Medical Group, Inc. can be contacted via phone (574) 523-7900, or through Costello, Jeffrey P. via phone (574) 647-3549.

Contact Information

Primary practice address
500 Arcade Ave Ste 320 Elkhart IN 46514-2477
Phone: (574) 523-7900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costello, Jeffrey P.
Phone: (574) 647-3549

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01049858A Indiana
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X 01049858A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01049858A Indiana
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01049858A Indiana

Profile Details

NPI number 1821222829
LBN Legal business name Beacon Medical Group, Inc.
DBA Doing business as Beacon Medical Group Urogynecology And Gynecology
Authorized official Costello, Jeffrey P.
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2009
Last updated Jun 25th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821222829 NPPES
Indiana MEDICAID 300013073
Indiana MEDICAID 300070471
Indiana MEDICAID 300068474
Indiana MEDICAID 300013260
Indiana MEDICAID 300013675
Indiana MEDICAID 300068062
Indiana MEDICAID 300012878

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