BEACON MEDICAL GROUP SPECIALISTS MAIN SUITE 100 – NPI #1306899554
Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
BEACON MEDICAL GROUP SPECIALISTS MAIN SUITE 100 is a provider located in GRANGER, IN. NPPES has assigned the NPI number 1306899554 to BEACON MEDICAL GROUP SPECIALISTS MAIN SUITE 100 on May 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEACON MEDICAL GROUP SPECIALISTS MAIN SUITE 100” 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 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism
The NPI profile was previously updated about 6 years ago on Dec 09, 2019. 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 MAIN SUITE 100 below.
NPI Profile for
BEACON MEDICAL GROUP, INC.
(more than 20 years ago)
GRANGER, IN 46530 Phone: (574) 647-6400 Fax: (574) 647-2951
SOUTH BEND, IN 46617-1924 Phone: (574) 647-1610 Fax:
VP-CFO
Phone: (574) 647-3549
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Identifiers for BEACON MEDICAL GROUP SPECIALISTS MAIN SUITE 100
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 | 100224050D |
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 |
|---|---|---|
| 207RE0101X - Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary) |
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| 207Q00000X - Family Medicine |
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| 207N00000X - Dermatology |
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.