Organization
SAINT JOSEPH REGIONAL MEDICAL CENTER, INC.
Active
Organization
SAINT JOSEPH REGIONAL MEDICAL CENTER, INC.
Active
Parent organization
TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIVONIA
Other names
Saint Joseph Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH ACADEMIC INTERNAL MEDICINE-NORTHWEST LIVONIA
Authorized official
CHRISTOPHER JAMES KARAM (PRESIDENT)
(574) 335-5000
Entity
Organization
Contact information
Practice address
2349 LAKE AVE STE 99, PLYMOUTH, IN 46563-7837
(574) 948-5340
(574) 948-5494
Mailing address
5215 HOLY CROSS PKWY, PROVIDER SERVICES-ENROLLMENT, MISHAWAKA, IN 46545-1469
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021236800
FEDERAL BLACK LUNG
IN
05
—
200091160B
—
IN
05
—
200162760A
—
IN
05
—
200162760B
—
IN
05
—
200162760C
—
IN
05
—
200162760G
—
IN
05
—
200162760H
—
IN
05
—
300000756
—
IN
05
—
300000759
—
IN
05
—
300020807
—
IN
05
—
300026356
—
IN
05
—
300028778
—
IN
05
—
300035855
—
IN
05
—
300038977
—
IN
05
—
300041121
—
IN
05
—
300041953
—
IN
05
—
300045460
—
IN
05
—
300045987
—
IN
05
—
300046029
—
IN
05
—
300046084
—
IN
05
—
300047494
—
IN
05
—
300048902
—
IN
05
—
300055981
—
IN
05
—
300068435
—
IN
05
—
300072484
—
IN
05
—
300092569
—
IN
05
—
300093021
—
IN
05
—
300116285
—
IN
05
—
300116659
—
IN
05
—
300118120
—
IN
05
—
300119147
—
IN
05
—
300122875
—
IN
05
—
300124078
—
IN
01
—
CJ6650
RR MEDICARE
IN
Enumeration date
05/19/2006
Last updated
03/03/2026
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