ST JOSEPH PHYSICIANS SOUTHWAY
NPI 1477590164
Family Medicine in Kokomo, IN

Q: What is St Joseph Primary LLC's NPI number?

The NPI number for St Joseph Primary LLC is 1477590164. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as St Joseph Physicians Southway.

Q: What is St Joseph Primary LLC's specialty?

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

Active since June 01, 2006

188 E SOUTHWAY BLVD, KOKOMO, IN 46902(765) 453-9000(765) 457-4443 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About St Joseph Physicians Southway NPPES

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

ST JOSEPH PHYSICIANS SOUTHWAY (NPI 1477590164) 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 Administrator, as its authorized official.

NPPES Registry Identity

NPI1477590164

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameST JOSEPH PRIMARY LLC

Location Address188 E SOUTHWAY BLVDKokomo, IN 46902-3650

Mailing Address188 E Southway BlvdKokomo, IN 46902-3650 · (765) 453-9000 · Fax (765) 457-4443

Phone(765) 453-9000

Fax(765) 457-4443

Organization SubpartNo

Authorized OfficialAndrew KellarRegional Practice Administrator · (765) 457-8381

Enumeration DateJune 1, 2006

Last NPPES UpdateNovember 16, 2007

✔ NPI 1477590164 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.

188 E SOUTHWAY BLVD, Kokomo, IN 46902

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Other Names 1

Doing Business AsSt Joseph Physicians Southway

Other Identifiers 2

Medicare PIN170710IN

Other000000183506IN · Blue Cross Blue Shield

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 8

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

LISA DIANE OWENS FNP

Nurse Practitioner (Family)