Saint Joseph Regional Medical Center- Plymouth Campus Inc
Organization Active NPI General Acute Care Hospital · Plymouth, IN
NPI 1174571129 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1174571129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 05-005070-1 (IN)
- Legal business name
- SAINT JOSEPH REGIONAL MEDICAL CENTER- PLYMOUTH CAMPUS INC
- Practice address
- 1915 Lake Ave
Plymouth, IN 46563-9366 - Phone
- (574) 948-4000
- Fax
- (574) 948-5454
- NPI assigned
- May 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Christopher James Karam
- Title
- President
- Phone
- (574) 335-5000
Owners & managing parties with NPI records 4
-
Craig B Miller, M.D.
-
Paula Toth-Russell, M.D.
Other NPIs with the same Medicare PAC ID 1
Subparts reporting this organization as parent 2
Corporate family (same tax ID) 2
Facilities with the same owner 157
Practitioners 63
-
Lou Ann Hall Matos, DPM
-
Kimberley Kay Mendez, MSN, RN, FNP-BC
-
Rebecca Anne Romine, FNP-C
-
Neha Sharma, MD
-
Leanne P Behny, C.R.N.A.
-
Jay Biesenthal, CRNA
-
James Carr, CRNA
-
Elena Chance, CRNA
-
Seth Michael Claxton, CRNA
-
Robert Colcord, CRNA
-
Marcus Lynn Ebright Zehr, CRNA
-
Linda L Fleming, CRNA
-
Richard Ray Forest, C.R.N.A.
-
Julie J Jarrett, CRNA
-
William Anthony Jones, CRNA
Affiliated clinicians 241
-
Frank A Addo, MD
-
Dahan Hussein Al-Fadhl, M.D.
-
Londa Aldridge, FNP
-
Omazonna Amadi, MD
-
Bilal Ansari, M.D.
-
Shamiram Badal, M.D.
-
Christopher R Balint, D.O.
-
Erin Elizabeth Barth, MSN, RN, AGACNP-BC
-
Kevin Ray Baxter, D.O.
-
Heidi Rebecca Bell, FNP-BC
-
Joseph Peter Binfet, M.D.
-
Randall J Bjork, M.D.
-
Sarah Suzanne Bortone, FNP-BC
-
Laura A Both, M.D.
Medicare Care Compare: Hospital
- Listed as
- Saint Joseph Regional Medical Center - Plymouth
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Hospital certification: CCN 150076
- Legal name
- SAINT JOSEPH REGIONAL MEDICAL CENTER- PLYMOUTH CAMPUS INC
- Doing business as
- SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Jul 23, 2003
- Beds
- 58
- Ownership / control type
- Church
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 1915 Lake Ave
Plymouth, IN 46563-9366 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Christopher Karam |
Contracted Managing Employee |
Jan 1, 2017 | |
| Corporate Director |
Jan 1, 2017 | ||
| James Foster |
Corporate Director |
Apr 21, 2022 | |
| Shannon Cermak |
Corporate Director |
Jan 1, 2026 | |
| Melissa Lukasick |
Corporate Officer |
Jan 1, 2025 | |
| Jonathan Geise |
Corporate Director |
Jan 1, 2026 | |
| Marion Fulce |
Corporate Director |
Jan 1, 2025 | |
| Robert L Sink |
Contracted Managing Employee |
Apr 21, 2022 | |
| Corporate Officer |
Jan 1, 2025 | ||
| Craig B Miller |
Corporate Director |
Jan 1, 2017 | |
| W-2 Managing Employee |
Jan 1, 2017 | ||
| Jeffrey Mathis |
Corporate Officer |
Apr 21, 2022 | |
| Rodolfo Monterrosa |
Corporate Officer | Apr 21, 2022 | |
| Corporate Director |
Apr 21, 2022 | ||
| Paula M Toth-Russell |
Corporate Director |
Apr 21, 2022 | |
| W-2 Managing Employee |
Jan 1, 2017 | ||
| Jacqueline Wright |
Corporate Director |
Jan 1, 2019 | |
| Saint Joseph Regional Medical Center Inc |
5% Or Greater Indirect Ownership Interest | Jan 2, 2020 | 100% |
| Trinity Health Corporation |
5% Or Greater Indirect Ownership Interest | May 1, 2000 | 100% |
| Chris Rowland |
Corporate Director |
Apr 21, 2022 | |
| Dana Neer |
Corporate Director |
Jan 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031017000033 | IN | Part a Provider - Hospital | 9537071337 | Practice locations: Plymouth, IN |
National Provider Directory
- Tax ID family
- Saint Joseph Physician
Locations
1919 Lake Ave
Ste 104
Plymouth, IN 46563
Phone (574) 948-5170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 05-005070-1 | IN | Yes |
Addresses
Primary practice location
1915 Lake Ave
Plymouth, IN 46563-9366
Mailing address
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214441600 | Other | IN | ACS FEDERAL EMPLOYEES WC |
| 000000097821 | Other | IN | BLUE CROSS |
| 100269590A | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Plymouth, IN
- Gretchen Runyon
- Rush-Select Holdings, LLC.
- James Ryan
- Saint Joseph Regional Medical Center - Plymouth Campus Inc
- Saint Joseph Regional Medical Center - Plymouth Campus Inc
- Saint Joseph Regional Medical Center- Plymouth Campus Inc
- Saint Joseph Regional Medical Center- Plymouth Campus Inc
- Saint Joseph Regional Medical Center-South Bend Campus, Inc.
- Saint Joseph Regional Medical Center, Inc.
- Rebecca Salem
All providers in Plymouth, IN · General Acute Care Hospital in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.