BEACON MEDICAL GROUP MAIN STREET – NPI #1053361543
Family Medicine
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.
BEACON MEDICAL GROUP MAIN STREET is a provider located in GRANGER, IN. NPPES has assigned the NPI number 1053361543 to BEACON MEDICAL GROUP MAIN STREET on May 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP MAIN STREET” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP, INC.. This provider is also associated with 2 additional names listed below. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Aug 26, 2024. 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 BEACON MEDICAL GROUP MAIN STREET below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(more than 20 years ago)
All associated names:
BEACON MEDICAL GROUP MAIN STREET
Beacon Medical Group Pediatrics Main Street
GRANGER, IN 46530-8039 Phone: (574) 647-1500 Fax: (574) 647-2567
2 Other location(s):
Granger, IN 46530-8022
Phone: (574) 647-4500
Fax: (574) 647-6354
Granger, IN 46530-8039
Phone: (574) 647-2567
Fax: (574) 647-2971
GRANGER, IN 46530-1380 Phone: Fax:
VP-CFO
Phone: (574) 647-3549
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BEACON MEDICAL GROUP MAIN STREET
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | IN | 300002852 | |
| medicaid | IN | 300015362 | |
| medicaid | IN | 100224050C |
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 |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
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| 363LF0000X - Nurse Practitioner / Family |
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| 208000000X - Pediatrics |
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| 207RR0500X - Internal Medicine / Rheumatology |
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| 207R00000X - Internal Medicine |
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.