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NPI Profile for BEACON MEDICAL GROUP INC in SOUTH BEND, IN.
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Maternal & Fetal Medicine |
207VM0101X | 16 | Physician/Obstetrics & Gynecology | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Genetic Counselor, MS |
170300000X | |||
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology | |
Surgical Critical Care |
2086S0102X | 02 | Physician/General Surgery |
| NPI # | 1710939608 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/17/2006 | |
| Last updated | 02/10/2026 - About 4 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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BEACON MEDICAL GROUP, INC.
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BEACON MEDICAL GROUP, INC.