BEACON MEDICAL GROUP INC.


Address: 25651 County Road 20, Elkhart, IN 46517-2310
Phone: 5745247128

BEACON MEDICAL GROUP INC. (NPI# 1679980320) 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) 1679980320
Entity Type Organization
Organization Name BEACON MEDICAL GROUP INC.
Other Organization Name BEACON MEDICAL GROUP CONCORD SPECIALTY CLINIC
Practice Address 25651 County Road 20
Elkhart
IN 46517-2310
Mailing Address 710 N Niles Ave
South Bend
IN 46617-1924
Practice Telephone 5745247128
Practice Fax Number 5742966522
Mailing Telephone 5746471610
Enumeration Date 2014-07-15
Last Update Date 2016-08-30
Authorized Official Name JEFFREY P COSTELLO (CFO)
Authorized Official Telephone 5746473549
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Beacon Medical Group Concord Specialty Clinic Doing Business As Name - Organization

Office Location

Street Address 25651 COUNTY ROAD 20
City ELKHART
State IN
Zip Code 46517-2310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821199431 Harley Wayne Yoder Family Medicine 25651 County Road 20, Elkhart, IN 46517-2310 2006-09-26
1225510522 Kimberlee Lynn Acton Nurse Practitioner 25651 County Road 20, Elkhart, IN 46517-2310 2018-09-04
1730638990 Elkhart Clinic, LLC Clinic/Center 25651 County Road 20, Elkhart, IN 46517-2310 2016-09-29
1558462101 Concord Family Medicine PC Family Medicine 25651 County Road 20, Elkhart, IN 46517-2310 2006-09-26
1114028743 Sam Joseph Borrelli Family Medicine 25651 County Road 20, Elkhart, IN 46517-2310 2006-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457743585 Raymond Kraucunas Pharmacist 102 E Hively Ave., Elkhart, IN 46517 2015-02-26
1972834828 Tyler Thomas Hawkins Physical Therapy Assistant 3965 Doral Ln., Elkhart, IN 46517 2010-01-15
1407008394 Emily Anne Stults Nurse Practitioner 505 South Third St, Ste 160, Elkhart, IN 46517 2008-10-22
1902922453 Assisted Living Concepts Inc Assisted Living Facility 27833 County Road 24, Elkhart, IN 46517 2007-03-22
1023145984 Family Nursing Services, Inc. Home Health 58025 Cr 9, Elkhart, IN 46517 2007-02-27
1639178650 Bethany L. Mcdaniel-vanderzwaag Family Medicine 3421 S Main St, Elkhart, IN 46517 2005-07-20
1770586737 Timothy Alan Quist Podiatrist 24021 Us 33 East, Elkhart, IN 46517 2005-05-24
1649516469 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 2600 Morehouse Ave, Elkhart, IN 46517 2012-12-26
1538340716 Timothy A Quist Dpm, PC Podiatrist 24021 Us 33 East, Elkhart, IN 46517 2007-11-16
1598889776 Family Nursing Services, Inc. Home Health 58025 Cr 9, Elkhart, IN 46517 2007-03-16
Find all providers in zip 46517

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700187457 Beacon Medical Group, Inc. Internal Medicine 303 S Nappanee St, Suite A, Elkhart, IN 46514-2066 2010-11-11
1679717771 Troy A Weirick Internal Medicine 500 Arcade Ave, Suite 400, Elkhart, IN 46514-2477 2009-04-21
1609076777 Nazmul Huda Internal Medicine 303 S Nappanee St, Ste A, Elkhart, IN 46514-2066 2007-07-18
1871598235 Donald R. Westerhausen Jr. Internal Medicine 500 Arcade Ave, Ste 400, Elkhart, IN 46514-2477 2005-06-14
1326042029 Charles A Mathis Internal Medicine 500 Arcade Ave, Ste 400, Elkhart, IN 46514-2477 2005-06-09
1265435861 Wai H. Lee Internal Medicine 303 S Nappanee St, Suite A, Elkhart, IN 46514-2066 2005-05-27
1164425997 Luisito C. Gonzales Internal Medicine 303 S Nappanee St, Suite A, Elkhart, IN 46514-2066 2005-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508489931 Gentle Hearts Cardiovascular Institution LLC Internal Medicine 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 2020-05-20
1689228587 Milton Lethan Pressler Internal Medicine 1243 Skytag Dr, Carmel, IN 46032-6301 2019-07-29
1790231926 Perry County Cardiology LLC Internal Medicine 8735 State Road 37, Suite B, Tell City, IN 47586-8349 2016-08-28
1164887329 Heart and Vascular Center, LLC Internal Medicine 604 Cambridge Ct, 1b, Munster, IN 46321-2458 2015-12-15
1487061131 Beacon Medical Group, Inc. Internal Medicine 2400 N Ventura Way, Lagrange, IN 46761-4101 2014-07-15
1174939003 Hassan Majed Mostafa Internal Medicine 13100 E 136th St Ste 3000, Fishers, IN 46037-9817 2014-07-11
1619306222 Cardiology Associates of Nw Indiana, PC Internal Medicine 10010 Don Powers Dr, Munster, IN 46321-4054 2013-11-04
1487996450 Richard Bruce Wenzler Internal Medicine 875 Sugarbush Rdg, Zionsville, IN 46077-1911 2013-03-18
1164774816 Jeffrey Scott Riesmeyer Internal Medicine 10582 Brooks School Rd, Fishers, IN 46037-9720 2012-10-04
1124381751 Robert W Godley II Internal Medicine Community Physicians of Indiana, Inc., 1402 E. County Line Rad, Indianapolis, IN 46227-0963 2012-06-19
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City ELKHART
Zip Code 46517

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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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