PRIMARY CARE PARTNERS OF SOUTH BEND


Address: 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617-3044
Phone: 5742511200

PRIMARY CARE PARTNERS OF SOUTH BEND (NPI# 1497399927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497399927
Entity Type Organization
Organization Name PRIMARY CARE PARTNERS OF SOUTH BEND
Practice Address 300 S Saint Louis Blvd Ste 204
South Bend
IN 46617-3044
Practice Telephone 5742511200
Practice Fax Number 5742511230
Mailing Telephone 5742511200
Mailing Fax Number 5742511230
Enumeration Date 2019-10-28
Last Update Date 2020-07-10
Authorized Official Name BRANDON ZABUKOVIC (MANAGING MEMBER)
Authorized Official Telephone 5742749425
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 300 S SAINT LOUIS BLVD STE 204
City SOUTH BEND
State IN
Zip Code 46617-3044

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740731116 Jack Mcintyre Kimmell Specialist/Technologist 1526 East Lasalle, South Bend, IN 46617 2016-10-20
1023429115 Morning View Assisted Living LLC Assisted Living Facility 475 N. Niles Avenue, South Bend, IN 46617 2014-05-12
1265861231 Rebecca Busenbark Physical Therapist 401 E Colfax Ave Ste 102, South Bend, IN 46617 2013-11-11
1962709071 Doreen Danice Huddleston Social Worker 928 East Wayne St, Suit C, South Bend, IN 46617 2011-02-25
1487981734 Mary Cecilia Roemer Marriage & Family Therapist 616 E. Colfax Ave, South Bend, IN 46617 2009-11-06
1225264054 Sridhar Meda Dentist 1005 East Lasalle Ave, South Bend, IN 46617 2009-06-08
1063673531 Madeline Christina Watkins Counselor 616 E Colfax, South Bend, IN 46617 2008-06-18
1437366481 Michael Reed Johns Dentist 103 South Eddy Street, South Bend, IN 46617 2007-05-17
1194937680 Sarah Elizabeth Redman Specialist/Technologist 53880 Carmichael Dr., South Bend, IN 46617 2007-05-04
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
Find all providers in zip 46617

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy 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.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285998146 Thomas Larsen Family Medicine 4440 Portage Ave, South Bend, IN 46628-9570 2012-06-26
1316180318 Paul Angelo Carl Macri Family Medicine 2012 Cedar St, South Bend, IN 46617-2542 2009-04-07
1285818591 Jaroslaw Kuna Family Medicine 320 S Saint Joseph St Ste 300, South Bend, IN 46601-2308 2007-12-21
1013117472 Ronald E Grow Inc Family Medicine 810 W Indiana Ave, South Bend, IN 46613-1828 2007-07-23
1124241211 Trixy Franke Family Medicine 837 E. Cedar St., Ste 100, South Bend, IN 46617 2007-04-10
1225185739 Michael J. O'connell D.o. Inc Family Medicine 17960 Cleveland Road, South Bend, IN 46635 2007-01-05
1679620579 Mark R. Neff Family Medicine 804 Lancaster Dr, South Bend, IN 46614-2020 2007-01-04
1437216587 David Wood Baxter Family Medicine 115 E Cripe St, South Bend, IN 46637-3402 2007-01-01
1477635944 Alan Snell Family Medicine 837 East Cedar St., Ste 100, South Bend, IN 46617 2006-10-20
1437240694 Brian Anthony Jacobs Family Medicine 610 N Michigan Street, Suite 308, South Bend, IN 46601 2006-09-27
Find all providers in SOUTH BEND

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City SOUTH BEND
Zip Code 46617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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