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SYCAMORE PEDIATRICS & ADOLESCENTS
NPI 1982650164
Pediatrics in Kokomo, IN

Active since May 26, 2006
3109 W SYCAMORE ST, KOKOMO, IN 46901(765) 457-8381(765) 457-4443 Get Directions Write a Review

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

About Sycamore Pediatrics & Adolescents NPPES

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

SYCAMORE PEDIATRICS & ADOLESCENTS (NPI 1982650164) is a healthcare organization registered as a pediatrics in Kokomo, 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

NPI1982650164
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameST JOSEPH PRIMARY LLC
Location Address3109 W SYCAMORE STKokomo, IN 46901-4026
Mailing Address3109 W Sycamore StKokomo, IN 46901-4026 · (765) 457-8381 · Fax (765) 457-4443
Phone(765) 457-8381
Fax(765) 457-4443
Organization SubpartNo
Authorized OfficialAndrew KellarRegional Practice Administrator · (765) 457-8381
Enumeration DateMay 26, 2006
Last NPPES UpdateNovember 16, 2007
✔ NPI 1982650164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3109 W SYCAMORE ST, Kokomo, IN 46901
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Other Names 1

Doing Business AsSycamore Pediatrics & Adolescents

Other Identifiers 2

Other000000183506IN · Blue Cross Blue Shield
Medicare PIN170710IN

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

Other Providers at the Same Location NPPES 4

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

ST JOSEPH PRIMARY LLC
Family Medicine
3109 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 457-8381
MRS. MICHELLE ANN SHEPHERD RPH
Pharmacist
3109 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 457-1191
MR. GREGORY A MILLER R.PH.
Pharmacist
3109 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 457-1191
ST. JOSEPH PRIMARY CARE LLC
Clinic/Center (Urgent Care)
3109 W SYCAMORE ST
KOKOMO, IN 46901
Howard County (765) 457-8381

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 1982650164. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Sycamore Pediatrics & Adolescents.

Where is St Joseph Primary LLC located?

St Joseph Primary LLC is located at 3109 W Sycamore St, Kokomo, IN 46901. The listed phone number is (765) 457-8381.

What is St Joseph Primary LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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.