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DR. JON ANDREW SHULL M.D.
NPI 1013948348
Family Medicine in South Bend, IN

Active since July 05, 2006
1708 HIGH ST, SOUTH BEND, IN 46613(574) 647-1400(574) 237-6663 Get Directions Write a Review

NPPES record last updated: October 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jon Andrew Shull M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON ANDREW SHULL M.D. (NPI 1013948348) is an individual family medicine provider in South Bend, Indiana, licensed in Indiana (01064025A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1013948348
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JON ANDREW SHULLCredential: M.D.
Location Address1708 HIGH STSouth Bend, IN 46613-2633
Mailing Address3355 Douglas Rd, Suite 300South Bend, IN 46635-1781
Phone(574) 647-1400
Fax(574) 237-6663
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateOctober 28, 2009
✔ NPI 1013948348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01064025A
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.
1708 HIGH ST, South Bend, IN 46613
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Other Identifiers 1

Medicaid200872740IN

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YVONNE CHAADULIA LINDEIRE
Nurse Practitioner
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 406-6180
JACQUELINE BROWN LCSW
Social Worker (Clinical)
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 406-6180
DR. KRISTEN WRIGHT MD
Family Medicine
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (888) 580-1060
BEACON MEDICAL GROUP, INC.
Family Medicine
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 647-1400
LUANN MARIE TRACEY FNP
Nurse Practitioner (Family)
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 647-1400
MS. PATRICIA ANN CORBETT NP
Nurse Practitioner (Women's Health)
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (574) 400-4418
HEALTHLINC, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1708 HIGH ST
SOUTH BEND, IN 46613
St. Joseph County (219) 413-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Shull's NPI number?

The NPI number for Jon Shull is 1013948348. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Jon Shull located?

Jon Shull practices at 1708 High St, South Bend, IN 46613. The listed phone number is (574) 647-1400.

What is Jon Shull's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jon Shull was last updated on October 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.