St. Joseph Primary Care, LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

ST. JOSEPH PRIMARY CARE, LLC

Practice address

1907 W Sycamore St
Kokomo, IN 46901-5148

Phone

(317) 456-5433

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Brian Morris

Title

Cfo (Amg)

Phone

(317) 338-6234

Specialties & licenses 6

Addresses

Other names 1

• Ascension St. Vincent Specialty Services Doing business as

Tax ID family

St Joseph Primary LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

• St Joseph Primary Care Physicians, LLC

  • Internal Medicine Physician
  • Peru, IN
  • NPI 1417904152
  NPD tax ID
• St Joseph Primary LLC

  • Urgent Care Clinic/Center
  • Kokomo, IN
  • NPI 1073569364
  NPD tax ID
• St Joseph Primary LLC

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1104866136
  NPD tax ID
• St Joseph Primary LLC

  • Gastroenterology Physician
  • Kokomo, IN
  • NPI 1265489975
  NPD tax ID
• St Joseph Primary LLC

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1477590164
  NPD tax ID
• St Joseph Primary LLC

  • Legal Medicine
  • Greentown, IN
  • NPI 1780631812
  NPD tax ID
• St Joseph Primary LLC

  • Pediatrics Physician
  • Kokomo, IN
  • NPI 1982650164
  NPD tax ID
• St. Joseph Primary Care LLC

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1487854675
  NPD tax ID
• St. Joseph Primary Care LLC

  • Urgent Care Clinic/Center
  • Kokomo, IN
  • NPI 1720176803
  NPD tax ID
• St. Joseph Primary Care, LLC

  • Pediatrics Physician
  • Greentown, IN
  • NPI 1336342286
  NPD tax ID
• St. Joseph Primary Care, LLC

  • Occupational Medicine Physician
  • Kokomo, IN
  • NPI 1538336037
  NPD tax ID
• St. Joseph Primary Care, LLC

  • Family Medicine Physician
  • Kokomo, IN
  • NPI 1982736377
  NPD tax ID

Locations

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1487377685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469015148",
            "telephone_number": "317-456-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "473 SE Greenville Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "IN",
            "postal_code": "473949436",
            "country_code": "US",
            "telephone_number": "765-584-0339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8885 State Road 237 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Tell City",
            "state": "IN",
            "postal_code": "475868567",
            "country_code": "US",
            "telephone_number": "812-547-0106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3699 Epworth Rd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308909",
            "country_code": "US",
            "telephone_number": "812-471-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475012860",
            "country_code": "US",
            "telephone_number": "812-485-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Meridian St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164338",
            "country_code": "US",
            "telephone_number": "765-646-8509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9730 W Smith St",
            "address_purpose": "LOCATION",
            "city": "Yorktown",
            "state": "IN",
            "postal_code": "473961199",
            "country_code": "US",
            "telephone_number": "765-722-6130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 Meridian St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460164343",
            "country_code": "US",
            "telephone_number": "765-683-3245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. JOSEPH PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO (AMG)",
        "authorized_official_telephone_number": "317-338-6234"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ascension St. Vincent Specialty Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Joseph Hospital & Health Center, Inc.
• St. Joseph Hospital & Health Center, Inc.
• St. Joseph Hospital & Health Center, Inc.
• St. Joseph Primary Care LLC
• St. Joseph Primary Care LLC
• St. Joseph Primary Care, LLC
• St. Joseph Primary Care, LLC
• St. Joseph Primary LLC
• St. Vincent Anderson Regional Hospital, Inc.
• St. Vincent Health Wellness and Preventive Care Institute, Inc.

• All providers in Kokomo, IN
• Medical Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.