St. Joseph Primary Care, Llc
Pediatrics
St. Joseph Primary Care, Llc is a Greentown, Indiana based Pediatric center with medical specialization in
General Pediatrics. St. Joseph Primary Care, Llc is doing business as
Sycamore Pediatrics And Adolescents.
It is located at
712 W Main St, Greentown, Indiana - 46936-1045. They can be contacted on phone at
765-628-3317 and fax number 765-628-5979.
NPI number (Unique professional ID) for St. Joseph Primary Care, Llc is
1336342286 which was assigned by NPPES on 07 Jun, 2007 and it was last updated on 22 Aug, 2020.
St. Joseph Primary Care, Llc license number is
01060986A for Pediatrics (208000000X) in Indiana.
St. Joseph Primary Care, 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 Care, 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 Care, Llc |
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| Other Name : | Sycamore Pediatrics And Adolescents |
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Business Address:
St. Joseph Primary Care, 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 : | 712 W Main St
Greentown, IN, 46936-1045
United States |
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| Phone Number : | 765-628-3317 |
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| Fax Number : | 765-628-5979 |
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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 : | 1336342286 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 07 Jun, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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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 : | Jamese. Whitfield |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | MEDICAL DIRECTOR |
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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 Care, Llc are as mentioned. Primary taxonomy code for St. Joseph Primary Care, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01060986A | IN |
Legacy Identifiers:
Other legacy medical identifiers of St. Joseph Primary Care, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1285615336 | Other | IN | NPI |
| 000000378656 | 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 : | 712 W Main St
Greentown, IN, 46936-1045
United States |
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| Phone Number : | 765-628-3317 |
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| Fax Number : | 765-628-5979 |
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Business Location:
Patients can refer following map for directions to
St. Joseph Primary Care, 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.