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MEDICINE REIMAGINED DPC
NPI 1891375275
Family Medicine in Goshen, IN

Active since April 10, 2021CLIA 15D2230441 · Waiver
1720 W LINCOLN AVE, GOSHEN, IN 46526(574) 319-1420 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2021, Apr 10, 2021 (2 updates tracked since 2021).

About Medicine Reimagined Dpc NPPES

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

MEDICINE REIMAGINED DPC (NPI 1891375275) is a healthcare organization registered as a family medicine in Goshen, Indiana and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Kimberly Stuckey-schrock, Manager, as its authorized official.

NPPES Registry Identity

NPI1891375275
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDICINE REIMAGINED DPC
Location Address1720 W LINCOLN AVEGoshen, IN 46526-5906
Mailing Address511 N Greene RdGoshen, IN 46526-1309 · (574) 319-1420
Phone(574) 319-1420
Organization SubpartNo
Authorized OfficialKimberly Stuckey-schrockManager · (574) 319-1420
Enumeration DateApril 10, 2021
Last NPPES UpdateMay 5, 20212 updates tracked since enumeration
NPPES CertifiedMay 5, 2021
✔ NPI 1891375275 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.
1720 W LINCOLN AVE, Goshen, IN 46526
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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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2230441

Medicine Reimagined Dpc · Goshen, IN
Active · expires Jul 22, 2027
CLIA Number15D2230441
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorKimberly S. Stuckey Schrock
Laboratory Phone(574) 319-1420
Laboratory LocationMedicine Reimagined Dpc1720 W Lincoln Ave, Goshen, IN 46526
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SIFFORD CLINIC OF CHIROPRACTIC, INC.
Chiropractor
1720 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-6824
SARAH WEBBER FNP
Nurse Practitioner (Family)
1720 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 319-1420
LIFESTYLE CHIROPRACTIC & WELLNESS LLC
Chiropractor
1720 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-6824
DR. ALAN KENT SIFFORD D.C.
Chiropractor
1720 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 534-6824
DR. STEVEN DANIEL SCHROCK M.D.
Family Medicine
1720 W LINCOLN AVE
GOSHEN, IN 46526
Elkhart County (574) 319-1420

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 Medicine Reimagined Dpc's NPI number?

The NPI number for Medicine Reimagined Dpc is 1891375275. It was assigned to this organization in the NPPES registry on April 10, 2021.

Where is Medicine Reimagined Dpc located?

Medicine Reimagined Dpc is located at 1720 W Lincoln Ave, Goshen, IN 46526. The listed phone number is (574) 319-1420.

What is Medicine Reimagined Dpc's specialty?

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

Does Medicine Reimagined Dpc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2230441) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medicine Reimagined Dpc was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.