BEACON MEDICAL GROUP SPECIALISTS PLYMOUTH – NPI #1972831311
Internal Medicine
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.
BEACON MEDICAL GROUP SPECIALISTS PLYMOUTH is a provider located in PLYMOUTH, IN. NPPES has assigned the NPI number 1972831311 to BEACON MEDICAL GROUP SPECIALISTS PLYMOUTH on November 23, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP SPECIALISTS PLYMOUTH” 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 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was previously updated about 10 years ago on Aug 30, 2016. 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 SPECIALISTS PLYMOUTH below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(more than 16 years ago)
SUITE 121
PLYMOUTH, IN 46563-8091 Phone: (574) 647-1600 Fax: (574) 237-6069
SOUTH BEND, IN 46617-1924 Phone: (574) 647-1610 Fax:
VP/CFO
Phone: (574) 647-3549
Identifiers for BEACON MEDICAL GROUP SPECIALISTS PLYMOUTH
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 | 100092700C |
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 |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
IN | 01045628A |
| 207RR0500X - Internal Medicine / Rheumatology |
IN | 01061323A |
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.