Provider Type Icon

ST. JOSEPH PRIMARY CARE LLC NPI 1336342286


NPI Information

NPI: 1336342286
Provider Name: ST. JOSEPH PRIMARY CARE, LLC

Doing Business As: SYCAMORE PEDIATRICS AND ADOLESCENTS

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
712 W MAIN ST
GREENTOWN, IN
ZIP 46936
Phone: (765) 628-3317
Get Directions

ST. JOSEPH PRIMARY CARE, LLC is a pediatrics in Greentown, IN. The provider is a pediatrician 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. ST. JOSEPH PRIMARY CARE, LLC NPI is 1336342286. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sycamore Pediatrics And Adolescents.

The provider's business location address is:

712 W MAIN ST
GREENTOWN, IN
ZIP 46936-045
Phone: (765) 628-3317
Fax: (765) 628-5979

The provider's authorized official is James E. Whitfield .
The authorized official title is Medical Director and has the following contact phone number (765) 457-8381.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics01060986AINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11285615336OTHERINDIANANPI
2000000378656OTHERINDIANABLUE CROSS BLUE SHIELD

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.