BEACON MEDICAL GROUP GOSHEN – NPI #1306863915
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 GOSHEN is a provider located in GOSHEN, IN. NPPES has assigned the NPI number 1306863915 to BEACON MEDICAL GROUP GOSHEN on July 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP GOSHEN” is a dba name, the actual legal business name for this organization is BEACON MEDICAL GROUP, INC.. 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 3 years ago on Apr 24, 2023. 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 GOSHEN below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(about 20 years ago)
GOSHEN, IN 46526-5858 Phone: (574) 875-5126 Fax: (574) 875-1874
SOUTH BEND, IN 46617-1924 Phone: (574) 647-1610 Fax: (574) 237-6069
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 GOSHEN
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 |
|---|---|---|---|
| other | ANTHEM BCBS | IN | 000000110758 |
| medicaid | IN | 200116290A |
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 | 06-005017-1 |
| 207N00000X - Dermatology |
IN | 06-005017-1 |
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.