Search › Indiana › 2080P0207X
Jack Staddon, M.D., PH.D
NPI 1952500415 · on the registry since 2007
Practice
- Address
- 615 N Michigan St Fl 4
South Bend, IN 46601 - Phone
- (574) 647-6892
- Fax
- (574) 647-6895
- Organisation at this address
- Memorial Hospital Of South Bend
Memorial Hospital Of South Bend
South Bend Emergency Physicians, Inc
Pediatrix Medical Group Of Indiana, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 176
Additional practice sites
- 3243 E Murdock St Ste 510, Wichita, KS
Registry record
- Primary taxonomy
- 2080P0207X
2080P0207X
- Also registered as
- 2080P0207X
- Licence states on file
- IN, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana