BEACON MEDICAL GROUP, INC. - NPI 1831149525 - Orthopaedic Surgery in South Bend, IN

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

The NPI number for Beacon Medical Group, Inc. is 1831149525. It was assigned to this organization in the NPPES registry on May 11, 2006.

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

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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About Beacon Medical Group, Inc. NPPES

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

BEACON MEDICAL GROUP, INC. (NPI 1831149525) is a healthcare organization registered as an orthopaedic surgery 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

NPI1831149525

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameBEACON MEDICAL GROUP, INC.

Location Address100 NAVARRE PL STE 5500South Bend, IN 46601-1172

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

Phone(574) 647-5300

Fax(574) 647-5305

Organization SubpartNo

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

Enumeration DateMay 11, 2006

Last NPPES UpdateOctober 12, 2017

✔ NPI 1831149525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IN · 01055773A

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

100 NAVARRE PL STE 5500, South Bend, IN 46601

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Other Identifiers 2

Medicaid200241180AIN

Medicare PIN231860IN

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 Anthem Blue Cross and Blue Shield.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.

MARIE E UNRUH MD

Surgery (Vascular Surgery)