BEACON PRIMARY CARE LLC NPI 1982155487

NPI Information

NPI: 1982155487
Provider Name: BEACON PRIMARY CARE LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
10967 ALLISONVILLE RD STE 110
FISHERS, IN
ZIP 46038
Phone: (317) 599-5970
Get Directions

BEACON PRIMARY CARE LLC is an addiction medicine family medicine in Fishers, IN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. BEACON PRIMARY CARE LLC NPI is 1982155487. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10967 ALLISONVILLE RD STE 110
FISHERS, IN
ZIP 46038-634
Phone: (317) 599-5970

The provider's authorized official is Peter Donald Farr .
The authorized official title is Owner and has the following contact phone number (317) 559-7970.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 1/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	207QA0401X	Family Medicine	Addiction Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IN3378	OTHER	INDIANA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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