NPIMap

Organization Active NPI

Family Care Associates

  • Family Medicine Physician
  • South Bend, IN
National Provider Identifier
1225019219
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY CARE ASSOCIATES
Practice address
720 E Cedar St
Suite 320
South Bend, IN 46617-2060
Phone
(574) 237-9201
Fax
(574) 239-1489
NPI assigned
Nov 8, 2005
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH BEND CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Paul J Meyer
Title
Executive Director
Phone
(574) 237-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

720 E Cedar St
Suite 320
South Bend, IN 46617-2060

Mailing address

720 East Cedar St
Suite 320
South Bend, IN 46617-2060
Phone (574) 237-9201

National Provider Directory

National Provider Directory
Tax ID family
South Bend Clinic LLP9 organizations share this tax ID, including this one
Part of
South Bend Clinic LLP

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1225019219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 EAST CEDAR ST",
            "address_2": "SUITE 320",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172060",
            "telephone_number": "574-237-9201",
            "fax_number": "574-239-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E CEDAR ST",
            "address_2": "SUITE 320",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172060",
            "telephone_number": "574-237-9201",
            "fax_number": "574-239-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH BEND CLINIC",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-237-9201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.