Beacon Medical Group, Inc
Beacon Medical Group, Inc provides Dermatology Physician services in Goshen, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2120 Rieth Blvd Ste AGoshen, IN 46526-5858
Phone: (574) 875-5126
Fax: (574) 875-1874
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 06-005017-1 (IN) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 06-005017-1 (IN) |
Record details
| NPI number | 1306863915 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Costello — Cfo · (574) 647-3549 |
| Other names | Beacon Medical Group Goshen; Beacon Medical Group Goshen |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | April 24, 2023 |
| Certification date | April 24, 2023 |
| Mailing address | 710 N Niles Ave, South Bend, IN 46617-1924 |