ST. MARY MEDICAL CENTER (NPI# 1043406440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043406440 |
| Entity Type | Organization |
| Organization Name | ST. MARY MEDICAL CENTER |
| Practice Address |
18077 Us Highway 18 Apple Valley CA 92307-2150 |
| Mailing Address |
18300 Us Highway 18 Apple Valley CA 92307-2206 |
| Practice Telephone | 7609468169 |
| Practice Fax Number | 7609468875 |
| Mailing Telephone | 7602422311 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | MR. JASON BARKER (PRESIDENT & CEO) |
| Authorized Official Telephone | 7602422311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | NMW1225 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | GNMW00060 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669456299 | St. Mary Medical Center | General Acute Care Hospital | 18300 Highway 18, Apple Valley, CA 92307 | 2005-12-06 |
| 1285007419 | St. Mary Medical Center | Clinic/Center | 1045 Atlantic Ave, Suite 914, Long Beach, CA 90813-3408 | 2015-11-10 |
| 1740698497 | St. Mary Medical Center | General Acute Care Hospital | 1707 N Henderson St, Galesburg, IL 61401-1320 | 2014-07-25 |
| 1487078796 | St. Mary Medical Center | Ambulance | 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2014-02-06 |
| 1982899266 | St. Mary Medical Center | General Acute Care Hospital | 401 W Poplar St, Walla Walla, WA 99362-2846 | 2007-09-11 |
| 1700921541 | St. Mary Medical Center | Internal Medicine | 2241 45th St, Highland, IN 46322-2601 | 2007-02-20 |
| 1952458564 | St. Mary Medical Center | Nurse Anesthetist, Certified Registered | 1500 S Lake Park Ave, Hobart, IN 46342-6638 | 2007-01-04 |
| 1457425605 | St. Mary Medical Center | Internal Medicine | 300 W 80th Pl, Ste A, Merrillville, IN 46410-5456 | 2006-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. MARY MEDICAL CENTER | 1201 Langhorne - Newtown Rd, Langhorne, PA 19047-1201 |
| Washington State Corporations | ST. MARY MEDICAL CENTER | 401 W Poplar St, Walla Walla, WA 99362 |
| Indiana Business Entities | ST. MARY MEDICAL CENTER DEVELOPMENT, LLC | St. Mary Medical Center, 1500 S. Lake Park Ave., Hobart, IN 46342 |
| System for Award Management (SAM) Entities | ST. MARY MEDICAL CENTER FOUNDATION | 1050 Linden Ave, Long Beach, CA 90813-3321 |
| System for Award Management (SAM) Entities | ST. MARY MEDICAL CENTER, INC. | 1500 S Lake Park Ave, Hobart, IN 46342-6638 |
| Street Address |
18077 US HIGHWAY 18 |
| City | APPLE VALLEY |
| State | CA |
| Zip Code | 92307-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689780629 | Laurie Roberts | Advanced Practice Midwife | 18077 Us Highway 18, Suite 100, Apple Valley, CA 92307-2150 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106025 | Rajender S. Thakran, M.d., Inc | Specialist | 16030 Kamana Rd, Apple Valley, CA 92307 | 2020-02-13 |
| 1477119980 | Harpreet Singh | Nurse Practitioner | 18300 Ca-18, Apple Valley, Ca 92307, Apple Valley, CA 92307 | 2019-05-10 |
| 1184120784 | Frantz Jean-louis | Nurse Practitioner | 16134 Muni Rd, Apple Valley, CA 92307 | 2018-04-03 |
| 1053862078 | Ashley M Morello | Registered Nurse | Universal Pain Management, 16179 Siskiyou, Apple Valley, CA 92307 | 2016-10-14 |
| 1891191680 | Ann Simonds | Marriage & Family Therapist | 20601 Us Highway 18 Ste 123, Apple Valley, CA 92307 | 2014-11-06 |
| 1396147419 | Aaa Family Medical Group | Family Medicine | 15995 Tuscola Rd Ste 202, Apple Valley, CA 92307 | 2014-09-19 |
| 1659780534 | Relena Tran | Pharmacist | 20251 Highway 18, Apple Valley, CA 92307 | 2014-08-05 |
| 1639508526 | Meagan Katherine Blades | Physician Assistant | 18300 Outer Hwy 18, Apple Valley, CA 92307 | 2013-11-01 |
| 1720341555 | Jonathan Robert Cox | Dermatology | 18523 Corwin Rd Ste G, Apple Valley, CA 92307 | 2012-06-18 |
| 1821364365 | Leary Sport and Spine Chiropractic Inc. | Chiropractor | 18564 Us Highway 18 Suite, 303, Apple Valley, CA 92307 | 2012-03-29 |
| Find all providers in zip 92307 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336653195 | Darcie Roseanne Tough | Advanced Practice Midwife | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2017-11-30 |
| 1689780629 | Laurie Roberts | Advanced Practice Midwife | 18077 Us Highway 18, Suite 100, Apple Valley, CA 92307-2150 | 2006-08-22 |
| 1932766458 | Matthew Larsen | Advanced Practice Midwife | 18077 Outer Hwy 18 Ste 100, Apple Valley, CA 92307-2168 | 2019-05-20 |
| 1548514565 | Maryam Modirrousta | Advanced Practice Midwife | 18300 Hwy 18, Apple Valley, CA 92307 | 2012-10-29 |
| 1578717302 | Kimberly Sue Deimling | Advanced Practice Midwife | 18300 Us Highway 18, Apple Valley, CA 92307-2206 | 2008-11-06 |
| 1063515187 | Kimberly Kay Tillotson | Advanced Practice Midwife | 18300 Highway 18, Apple Valley, CA 92307-2215 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679840 | Jessica Susan Parris | Advanced Practice Midwife | 331 N Janss St, Anaheim, CA 92805-2526 | 2020-11-04 |
| 1891396016 | Sara Kendryna | Advanced Practice Midwife | 4621 Marellen Pl, La Crescenta, CA 91214-3133 | 2020-11-04 |
| 1982205118 | Sherae Kami Williams | Advanced Practice Midwife | 19727 Rotterdam St, Riverside, CA 92508-6184 | 2020-11-04 |
| 1366043580 | Haley Marie Ernst | Advanced Practice Midwife | 2203 Mira Vista Ave, Montrose, CA 91020-1561 | 2020-11-04 |
| 1548861768 | Pam K Ghuman | Advanced Practice Midwife | 2538 Mountain View Rd, El Monte, CA 91733-2810 | 2020-11-04 |
| 1942807854 | Michelle Mclean | Advanced Practice Midwife | 10503 Silent Grove Ct, Stockton, CA 95209-4186 | 2020-10-04 |
| 1003432956 | Nancy Maldonado | Advanced Practice Midwife | 1831 Hartford St, Salinas, CA 93906-4809 | 2020-06-17 |
| 1972122331 | Kelly Minor | Advanced Practice Midwife | 5429 Encelia Dr, Twentynine Palms, CA 92277-1335 | 2020-04-15 |
| 1871128595 | Gabriela Tirado | Advanced Practice Midwife | 432 Corbett Ave, San Francisco, CA 94114-2218 | 2020-03-04 |
| 1730710575 | Korinna De La Rosa | Advanced Practice Midwife | 6327 W Elowin Ave, Visalia, CA 93291-8366 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | APPLE VALLEY |
| Zip Code | 92307 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.