Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Staddon, MD, PHD

Individual provider Pediatric Hematology & Oncology Physician · NPI 1952500415

Jack Staddon, MD, PHD is a Pediatric Hematology & Oncology Physician in South Bend, Indiana. Works from 2 locations. Licensed in Indiana and Kansas.

Licensed in
IN, KS
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

615 N Michigan St Fl 4
South Bend, IN 46601-1033
Phone: (574) 647-6892
Fax: (574) 647-6895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3243 E Murdock St Ste 510, Wichita, KS 67208-3007 — (316) 962-3928

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 04-45815 (KS)
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X · Licence 01099630A (IN)

Record details

NPI number1952500415
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJuly 15, 2007
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

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