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SYCAMORE PRIMARY & SPECIALTY CARE
NPI 1780631812
Legal Medicine in Greentown, IN

Active since May 27, 2006
712 W MAIN ST, GREENTOWN, IN 46936(765) 628-3317(765) 457-4443 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sycamore Primary & Specialty Care NPPES

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

SYCAMORE PRIMARY & SPECIALTY CARE (NPI 1780631812) is a healthcare organization registered as a legal medicine in Greentown, Indiana and active in the NPI registry since May 2006. The organization lists Andrew Kellar, Regional Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1780631812
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameST JOSEPH PRIMARY LLC
Location Address712 W MAIN STGreentown, IN 46936-1045
Mailing Address712 W Main StGreentown, IN 46936-1045 · (765) 628-3317 · Fax (765) 457-4443
Phone(765) 628-3317
Fax(765) 457-4443
Organization SubpartNo
Authorized OfficialAndrew KellarRegional Practice Administrator · (765) 457-8381
Enumeration DateMay 27, 2006
Last NPPES UpdateNovember 16, 2007
✔ NPI 1780631812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
712 W MAIN ST, Greentown, IN 46936
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Other Names 1

Doing Business AsSycamore Primary & Specialty Care

Other Identifiers 2

Medicare PIN170710IN
Other000000183518IN · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

KEN O RIDGEWAY DO
Family Medicine
712 W MAIN ST
GREENTOWN, IN 46936
Howard County (765) 628-3319
ST. JOSEPH PRIMARY CARE, LLC
Pediatrics
712 W MAIN ST
GREENTOWN, IN 46936
Howard County (765) 628-3317

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 1780631812. It was assigned to this organization in the NPPES registry on May 27, 2006. The provider is doing business as Sycamore Primary & Specialty Care.

Where is St Joseph Primary LLC located?

St Joseph Primary LLC is located at 712 W Main St, Greentown, IN 46936. The listed phone number is (765) 628-3317.

What is St Joseph Primary LLC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

When was this NPI record last updated?

The NPPES record for St Joseph Primary LLC was last updated on November 16, 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.