OrganizationActive
St. Joseph Valley Anesthesia P.C.
NPI 1790738854 · Anesthesiology Physician · Mishawaka, IN
Provider details
- NPI number
- 1790738854
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Darryl Beasley, President(574) 233-3123
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
5215 Holy Cross Parkway
Mishawaka, IN 46545-1469
Phone: (574) 335-5000
Fax: (574) 233-3125
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1742
South Bend, IN 46634-1742
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2010-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.