ST JOSEPH MEDICAL GROUP INC
NPI 1811952070
General Practice in Fort Wayne, IN

Q: What is St Joseph Medical Group Inc's NPI number?

The NPI number for St Joseph Medical Group Inc is 1811952070. It was assigned to this organization in the NPPES registry on April 19, 2006.

Q: What is St Joseph Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since April 19, 2006

2622 LAKE AVE, FORT WAYNE, IN 46805(260) 425-3100 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St Joseph Medical Group Inc NPPES

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

ST JOSEPH MEDICAL GROUP INC (NPI 1811952070) is a healthcare organization registered as a general practice in Fort Wayne, Indiana and active in the NPI registry since April 2006. The organization lists Sophia L Arwood, Director Of Physician Operations, as its authorized official.

NPPES Registry Identity

NPI1811952070

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameST JOSEPH MEDICAL GROUP INC

Location Address2622 LAKE AVEFort Wayne, IN 46805-5410

Mailing Address2622 Lake AveFort Wayne, IN 46805-5410 · (260) 425-3100

Phone(260) 425-3100

Organization SubpartNo

Authorized OfficialSophia L ArwoodDirector Of Physician Operations · (615) 628-6038

Enumeration DateApril 19, 2006

Last NPPES UpdateDecember 15, 2015

✔ NPI 1811952070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

2622 LAKE AVE, Fort Wayne, IN 46805

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Other Identifiers 5

Medicaid100268520IN

Medicaid2629570OH

Medicare PIN150640IN

Medicare PIN220780IN

Medicare PIN220790IN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 13

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

MRS. LORI SNODGRASS OTR

Occupational Therapist