MEDICARE: SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207QS0010X	Sports Medicine (Family Medicine) Physician
2	213E00000X	Podiatrist
3	213ES0103X	Foot & Ankle Surgery Podiatrist
4	207VM0101X	Maternal & Fetal Medicine Physician
5	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
6	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780766261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC.

Provider Business Mailing Address
First Line	:	5215 HOLY CROSS PKWY
Second Line	:
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-1469
Country	:	US
Telephone Number	:	574-335-8707
Fax Number	:	574-335-0741

Provider Business Practice Location Address
First Line	:	611 E DOUGLAS RD, STE 407
Second Line	:	FAMILY MEDICINE CENTER OF SJRMC
City	:	MISHAWAKA
State	:	IN
Zip	:	46545-1468
Country	:	US
Telephone Number	:	574-335-6500
Fax Number	:	574-335-0772

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRISTOPHER JAMES KARAM
Credential	:
Telephone Number	:	574-335-5000

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	03/09/2026

Similar Medicare Providers

1760365530 — ANNALIESA FANGUY MD
Practice Location Address:

611 E DOUGLAS RD STE 407
MISHAWAKA, IN
46545-1468

Practice Phone: 574-335-6500
Practice Fax:

1699767152 — DR. EDWARD P. SHERIDAN PHARMD, BCPS, BCACP
Practice Location Address:

611 E DOUGLAS RD STE 412
MISHAWAKA, IN
46545-1468

Practice Phone: 574-335-6514
Practice Fax:

1447205448 — CHARLES HIGGS-COULTHARD M.D.
Practice Location Address:

611 E DOUGLAS RD STE 406
MISHAWAKA, IN
46545-1468

Practice Phone: 574-335-6580
Practice Fax: 574-335-0796

1386683522 — MARYJO MEIER M.D.
Practice Location Address:

611 E DOUGLAS RD STE 401
MISHAWAKA, IN
46545-1468

Practice Phone: 574-335-6242
Practice Fax: 574-335-0758

1023035508 — THEODORE R NEUMANN MD
Practice Location Address:

611 E DOUGLAS RD STE 406
MISHAWAKA, IN
46545-1468

Practice Phone: 574-335-6580
Practice Fax:

1376553172 — ANGELINA SAGARSEE PHARMD
Practice Location Address:

611 E DOUGLAS RD STE 412
MISHAWAKA, IN
46545-1468

Practice Phone: 574-335-6500
Practice Fax:

Directions to “SAINT JOSEPH REGIONAL MEDICAL CENTER-SOUTH BEND CAMPUS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.