MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS
NPI 1447203674
Pediatrics in South Bend, IN

Q: What is Beacon Medical Group, Inc.'s NPI number?

The NPI number for Beacon Medical Group, Inc. is 1447203674. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider is doing business as Memorial Children's Hospital Navarre Pediatrics.

Q: What is Beacon Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 18, 2006

100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601(574) 647-4540(574) 647-4542 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2019, Feb 11, 2019, Aug 29, 2016 (3 updates tracked since 2016).

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About Memorial Children's Hospital Navarre Pediatrics NPPES

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

MEMORIAL CHILDREN'S HOSPITAL NAVARRE PEDIATRICS (NPI 1447203674) is a healthcare organization registered as a pediatrics in South Bend, Indiana and active in the NPI registry since May 2006. The organization lists Jeffrey Costello, Vp-cfo, as its authorized official.

NPPES Registry Identity

NPI1447203674

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address100 NAVARRE PL STE 4440South Bend, IN 46601-1171

Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610

Phone(574) 647-4540

Fax(574) 647-4542

Organization SubpartNo

Authorized OfficialJeffrey CostelloVp-cfo · (574) 647-3549

Enumeration DateMay 18, 2006

Last NPPES UpdateApril 4, 20193 updates tracked since enumeration

✔ NPI 1447203674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01046281A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

100 NAVARRE PL STE 4440, South Bend, IN 46601

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Other Names 1

Doing Business AsMemorial Children's Hospital Navarre Pediatrics

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 20

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

CAITLIN VLAEMINCK

Nurse Practitioner (Family)