St Joseph Primary Llc
Pediatrics
St Joseph Primary Llc is a Kokomo, Indiana based Pediatric center with medical specialization in
General Pediatrics. St Joseph Primary Llc is doing business as
Sycamore Pediatrics & Adolescents.
It is located at
3109 W Sycamore St, Kokomo, Indiana - 46901-4026. They can be contacted on phone at
765-457-8381 and fax number 765-457-4443.
NPI number (Unique professional ID) for St Joseph Primary Llc is
1982650164 which was assigned by NPPES on 26 May, 2006 and it was last updated on 16 Nov, 2007.
St Joseph Primary Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
St Joseph Primary Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | St Joseph Primary Llc |
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| Other Name : | Sycamore Pediatrics & Adolescents |
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Business Address:
St Joseph Primary Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3109 W Sycamore St
Kokomo, IN, 46901-4026
United States |
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| Phone Number : | 765-457-8381 |
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| Fax Number : | 765-457-4443 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1982650164 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 26 May, 2006 |
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| Last Updated On : | 16 Nov, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Andrew Kellar |
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| Official Title or Position : | REGIONAL PRACTICE ADMINISTRATOR |
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| Phone Number : | 765-457-8381 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Joseph Primary Llc are as mentioned. Primary taxonomy code for St Joseph Primary Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | IN |
Legacy Identifiers:
Other legacy medical identifiers of St Joseph Primary Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000000183506 | Other | IN | BLUE CROSS BLUE SHIELD |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3109 W Sycamore St
Kokomo, IN, 46901-4026
United States |
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| Phone Number : | 765-457-8381 |
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| Fax Number : | 765-457-4443 |
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Business Location:
Patients can refer following map for directions to
St Joseph Primary Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.