LIFEPLEX FAMILY PRACTICE – NPI #1114449238
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.

Health Care Provider Taxonomy Code for Family Medicine

LIFEPLEX FAMILY PRACTICE is a provider located in PLYMOUTH, IN. NPPES has assigned the NPI number 1114449238 to LIFEPLEX FAMILY PRACTICE on July 11, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIFEPLEX FAMILY PRACTICE” is a dba name, the actual legal business name for this organization is LIFEPLEX MEDICAL INC. According to the NPI Registry, 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.

The NPI profile was previously updated about 5 years ago on May 25, 2021. 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 LIFEPLEX FAMILY PRACTICE below.

NPI Profile for
LIFEPLEX MEDICAL INC

NPI Number
1114449238
Enumeration Date

(about 9 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
LIFEPLEX MEDICAL INC
Doing Business As (dba): LIFEPLEX FAMILY PRACTICE
Primary location
2855 MILLER DR STE 117
PLYMOUTH, IN 46563-8091
Phone: (574) 936-7777 Fax: (574) 941-1072
2 Other location(s):
2855 Miller Dr Ste 119
Plymouth, IN 46563-8091
Phone: (574) 941-1000
Fax: (574) 941-1075
506 Michigan St
Walkerton, IN 46574-1116
Phone: (574) 936-7777
Fax: (574) 941-1072
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BYRON HOLM
MD
Phone: (574) 936-7777
Updated
Certification Date
May 25, 2021

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.

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
207Q00000X
- Family Medicine (Primary)		 IN 01024911A
261QU0200X
- Clinic/Center / Urgent Care		 IN

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
2855 MILLER DR STE 117,
PLYMOUTH, IN 77025-1669