ST. JOSEPH PRIMARY CARE, LLC (NPI# 1538336037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538336037 |
| Entity Type | Organization |
| Organization Name | ST. JOSEPH PRIMARY CARE, LLC |
| Other Organization Name | KOKOMO OCCUPATIONAL HEALTH |
| Practice Address |
5111 Clinton Dr Kokomo IN 46902-7136 |
| Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
| Practice Telephone | 7654538800 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | D. BRUCE HAGA (VICE PRESIDENT) |
| Authorized Official Telephone | 3175833087 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kokomo Occupational Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336342286 | St. Joseph Primary Care, LLC | Pediatrics | 712 W Main St, Greentown, IN 46936-1045 | 2007-06-07 |
| 1982736377 | St. Joseph Primary Care, LLC | Internal Medicine | 3109 W Sycamore St, Kokomo, IN 46901-4181 | 2007-03-12 |
| Street Address |
5111 CLINTON DR |
| City | KOKOMO |
| State | IN |
| Zip Code | 46902-7136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073569364 | St Joseph Primary LLC | Family Medicine | 5111 Clinton Dr, Kokomo, IN 46902-7136 | 2006-05-26 |
| 1508219874 | Clarisa D. Oliveira | Dentist | 5111 Clinton Dr, Kokomo, IN 46902-7136 | 2016-07-21 |
| 1881718286 | Jeffrey K Wilson | Family Medicine | 5111 Clinton Dr, Kokomo, IN 46902-7136 | 2007-03-19 |
| 1255414843 | Stuart Devaul | Family Medicine | 5111 Clinton Dr, Kokomo, IN 46902-7136 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1215585914 | Kenneth Waitt | Pharmacist | 4026 County Rd E 400 S, Kokomo, IN 46902 | 2019-08-27 |
| 1457906141 | With Dignity Too LLC | Clinic/Center | 1958 West Boulivard, Kokomo, IN 46902 | 2019-08-08 |
| 1649738931 | Kc Caregivers, Inc. | In Home Supportive Care | 4053 S Webster St, Kokomo, IN 46902 | 2019-03-06 |
| 1225514805 | Navneet Aulakh | Dentist | Lakewood Family Dental of Kokomo Pllc, 2302 S Dixon Rd Suite 125, Kokomo, IN 46902 | 2018-07-17 |
| 1285127548 | Jeremy Matthew Gibson | Case Manager/Care Coordinator | 2739 Albright Rd, Kokomo, IN 46902 | 2018-06-12 |
| 1821585175 | Kneeded Balance and Tranquility | Massage Therapist | 3708 S. Lafountain St, Kokomo, IN 46902 | 2018-04-21 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1588085740 | Roni Dinglasa | Physical Therapist | 2102 Cedar Run Drive, Kokomo, IN 46902 | 2013-12-13 |
| 1063761559 | Kimberly R Kuehl | Pharmacist | 1037 S. Reed Road, Kokomo, IN 46902 | 2012-08-30 |
| Find all providers in zip 46902 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020683 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 317 S Berkley Rd, Kokomo, IN 46901-5114 | 2020-07-20 |
| 1194229021 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 1765 E Lincoln Rd, Kokomo, IN 46902-3993 | 2018-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787425 | Deaconess Clinic Inc | Preventive Medicine | 4949 Healthy Way Ste D, Evansville, IN 47715-1180 | 2019-08-30 |
| 1871042077 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 4125 West Clara Lane, Suite 200, Muncie, IN 47304-5412 | 2016-09-28 |
| 1710300033 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 6625 Network Way, #390, Indianapolis, IN 46278-1682 | 2014-01-22 |
| 1104263227 | Saligrama A Ranganath | Preventive Medicine | 1251 Eastport Centre Dr Ste B, Valparaiso, IN 46383-2904 | 2013-05-30 |
| 1174866156 | St. Vincent Hospital and Health Care Center, Inc. | Preventive Medicine | 4800 S 975 E, Zionsville, IN 46077-8252 | 2013-03-28 |
| 1114220589 | Scott Brian Edwards | Preventive Medicine | 50680 Pheasant Cove Dr, Granger, IN 46530-7583 | 2010-12-07 |
| 1265746689 | Floyd Edward Thurston | Preventive Medicine | 3310 E Mulberry Ct, Bloomington, IN 47401-2425 | 2010-07-27 |
| 1023278207 | Dorothy J. Lenzi | Preventive Medicine | 301 N Curry Pike, Bloomington, IN 47404-2502 | 2008-06-11 |
| 1184890212 | St. Francis Hospital and Health Centers | Preventive Medicine | 315 N Dan Jones Rd, Suite 120, Plainfield, IN 46168-2817 | 2008-05-08 |
| 1790969467 | St. Vincent Madison County Health System, Inc. | Preventive Medicine | 7408 W State Road 28, Elwood, IN 46036-8600 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
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| 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.