LINCOLN RD. SURGEONS – NPI #1295935484
Clinic/Center

LINCOLN RD. SURGEONS is an AHC clinic located in KOKOMO, IN. NPPES has assigned the NPI number 1295935484 to LINCOLN RD. SURGEONS on July 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LINCOLN RD. SURGEONS” is a dba name, the actual legal business name for this organization is ST. JOSEPH PRIMARY LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 19 years ago on Nov 16, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LINCOLN RD. SURGEONS below.

NPI Profile for
ST. JOSEPH PRIMARY LLC

NPI Number
1295935484
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOSEPH PRIMARY LLC
Doing Business As (dba): LINCOLN RD. SURGEONS
Primary location
2343 W LINCOLN RD
KOKOMO, IN 46902-8012
Phone: (765) 455-4090 Fax: (765) 457-4443
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANDREW KELLAR
REGIONAL PRACTICE ADMINISTRATOR
Phone: (765) 457-8381
Updated
Identifiers

Identifiers for LINCOLN RD. SURGEONS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSIN000000183506
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.