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MISHAWAKA CLINIC, P.C.
NPI 1972776938
Family Medicine in Mishawaka, IN

Active since April 10, 2008
303 S. MAIN ST., SUITE 212, MISHAWAKA, IN 46544(574) 254-0800(574) 254-0812 Get Directions Write a Review

NPPES record last updated: April 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mishawaka Clinic, P.c. NPPES

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

MISHAWAKA CLINIC, P.C. (NPI 1972776938) is a healthcare organization registered as a family medicine in Mishawaka, Indiana and active in the NPI registry since April 2008. The organization lists James E. Reidy, President, as its authorized official.

NPPES Registry Identity

NPI1972776938
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMISHAWAKA CLINIC, P.C.
Location Address303 S. MAIN ST., SUITE 212Mishawaka, IN 46544
Mailing Address303 S. Main St., Suite 212Mishawaka, IN 46544 · (574) 254-0800 · Fax (574) 254-0812
Phone(574) 254-0800
Fax(574) 254-0812
Organization SubpartNo
Authorized OfficialJames E. ReidyPresident · (574) 254-0800
Enumeration DateApril 10, 2008
Last NPPES UpdateApril 8, 2011
✔ NPI 1972776938 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.

303 S. MAIN ST., Mishawaka, IN 46544
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Other Identifiers 2

Other1497794010IN · Npi
Medicare PIN257320

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

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 Mishawaka Clinic, P.C.'s NPI number?

The NPI number for Mishawaka Clinic, P.C. is 1972776938. It was assigned to this organization in the NPPES registry on April 10, 2008.

Where is Mishawaka Clinic, P.C. located?

Mishawaka Clinic, P.C. is located at 303 S. Main St. Suite 212, Mishawaka, IN 46544. The listed phone number is (574) 254-0800.

What is Mishawaka Clinic, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Mishawaka Clinic, P.C. was last updated on April 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.