OrganizationActive
St. Joseph Primary LLC
NPI 1295935484 · Ambulatory Surgical Clinic/Center · Kokomo, IN
Provider details
- NPI number
- 1295935484
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrew Kellar, Regional Practice Administrator(765) 457-8381
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2343 W Lincoln Rd
Kokomo, IN 46902-8012
Phone: (765) 455-4090
Fax: (765) 457-4443
Street-level locationGet directions
Mailing address
2343 W Lincoln Rd
Kokomo, IN 46902-8012
Other names (DBA / former)
- Doing business as
- Lincoln Rd. Surgeons
Registry dates
- Enumerated
- 2007-07-25
- Last updated
- 2007-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.