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SYCAMORE PRIMARY CARE
NPI 1104866136
Family Medicine in Kokomo, IN

Active since June 07, 2006
3109 W SYCAMORE ST, KOKOMO, IN 46901(765) 457-8381(765) 457-4443 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sycamore Primary Care NPPES

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

SYCAMORE PRIMARY CARE (NPI 1104866136) is a healthcare organization registered as a family medicine in Kokomo, Indiana and active in the NPI registry since June 2006. The organization lists Andrew Kellar, Regional Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1104866136
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST JOSEPH PRIMARY LLC
Location Address3109 W SYCAMORE STKokomo, IN 46901-4026
Mailing Address3109 W Sycamore StKokomo, IN 46901-4026 · (765) 457-8381 · Fax (765) 457-4443
Phone(765) 457-8381
Fax(765) 457-4443
Organization SubpartNo
Authorized OfficialAndrew KellarRegional Practice Manager · (765) 457-8381
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 23, 2007
✔ NPI 1104866136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
3109 W SYCAMORE ST, Kokomo, IN 46901
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Other Names 1

Doing Business AsSycamore Primary Care

Other Identifiers 2

Other000000183506IN · Blue Cross Blue Shield
Medicare PIN170710IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MRS. MICHELLE ANN SHEPHERD RPH
Pharmacist
3109 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 457-1191
MR. GREGORY A MILLER R.PH.
Pharmacist
3109 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 457-1191
ST. JOSEPH PRIMARY CARE LLC
Clinic/Center (Urgent Care)
3109 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 457-8381
ST JOSEPH PRIMARY LLC
Pediatrics
3109 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 457-8381

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 St Joseph Primary LLC's NPI number?

The NPI number for St Joseph Primary LLC is 1104866136. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Sycamore Primary Care.

Where is St Joseph Primary LLC located?

St Joseph Primary LLC is located at 3109 W Sycamore St, Kokomo, IN 46901. The listed phone number is (765) 457-8381.

What is St Joseph Primary LLC'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 St Joseph Primary LLC was last updated on October 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.