ST MARGARET MERCY HEALTHCARE CENTERS, INC. (NPI# 1124190020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124190020 |
Entity Type | Organization |
Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS, INC. |
Other Organization Name | ST MARGARET MERCY CHILDREN'S GROUP NORTH |
Practice Address |
5454 S Hohman Ave Hammond IN 46320-1931 |
Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
Practice Telephone | 2199332042 |
Practice Fax Number | 2198642649 |
Mailing Telephone | 2198642107 |
Mailing Fax Number | 2198642251 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2010-01-07 |
Authorized Official Name | THOMAS GRYZBEK (PRESIDENT) |
Authorized Official Telephone | 2199322300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200159110T | 05 |
Other Name | Type Code |
---|---|
St Margaret Mercy Children's Group North | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245309376 | St Margaret Mercy Healthcare Centers, Inc. | Internal Medicine | 2450 169th St, Hammond, IN 46323-2074 | 2006-11-06 |
1871672014 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2006-11-06 |
1184703746 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 3340 E 134th St, Chicago, IL 60633-1539 | 2006-11-03 |
1871672451 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 1028 E Steger Rd, Crete, IL 60417-1362 | 2006-11-03 |
1295807188 | St Margaret Mercy Healthcare Centers, Inc. | Pediatrics | 24 Joliet St, Physician Pavilion # 302, Dyer, IN 46311-1705 | 2006-11-15 |
1073685970 | St Margaret Mercy Healthcare Centers, Inc. | Obstetrics & Gynecology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-11-15 |
1801968706 | St Margaret Mercy Healthcare Centers, Inc. | Surgery | 24 Joliet St, Ste 101, Dyer, IN 46311-1705 | 2006-11-15 |
1689746000 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2006-11-14 |
1467522870 | St Margaret Mercy Healthcare Centers, Inc. | Obstetrics & Gynecology | 24 Joliet St, Dyer, IN 46311-1705 | 2006-11-09 |
1962572370 | St Margaret Mercy Healthcare Centers, Inc. | Pediatrics | 5530 S Hohman Ave, Hammond, IN 46320-1935 | 2006-11-09 |
Street Address |
5454 S HOHMAN AVE |
City | HAMMOND |
State | IN |
Zip Code | 46320-1931 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
1215198569 | Sandra Michele Kurpela | Nurse Practitioner | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2008-06-19 |
1649476706 | Leticia Vazquez | Anesthesiology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2007-06-25 |
1689893059 | Evelyn Barbara Sell | Audiologist | 5454 S Hohman Ave, Audiology Dept 1st Floor, Hammond, IN 46320-1931 | 2007-04-24 |
1972721942 | Valari Anne Koziel | Audiologist | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2007-04-23 |
1255403135 | St Margaret Mercy Healthcare Centers Inc | Hospitalist | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-11-15 |
1073685970 | St Margaret Mercy Healthcare Centers, Inc. | Obstetrics & Gynecology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-11-15 |
1306952957 | Jong Liu | Radiology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-08-23 |
1528082906 | St. Margaret Mercy Healthcare Centers | Anesthesiology | 5454 S Hohman Ave, St. Margaret Mercy Healthcare, Hammond, IN 46320-1931 | 2006-07-27 |
1285686899 | Vietta Louise Johnson | Orthopaedic Surgery | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-05-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
1912384306 | William Register | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320 | 2015-05-05 |
Find all providers in zip 46320 |
Taxonomy Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932278181 | Ivan A. Villalta-wehmeyer | Pediatrics | 15790 Paul Vega Md, Dr, Hammond, LA 70403 | 2006-11-06 |
1508853102 | Deepika Kakkera | Pediatrics | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2005-09-29 |
1497742092 | Sudhish Chandra | Pediatrics | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2005-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053572578 | Carol Lynn Berseth | Pediatrics | 401 Park Plaza Dr, Evansville, IN 47715-3632 | 2008-06-18 |
1992831861 | Rex G Bickers | Pediatrics | 3511 Lafayette Pkwy, Floyds Knobs, IN 47119-9760 | 2007-02-26 |
1275679433 | Cheryl Annette Eads | Pediatrics | 887 N Gardner St Ste A, Scottsburg, IN 47170-1457 | 2007-01-29 |
1730234071 | Northern Indiana Neonatal Associates, PC | Pediatrics | 3221 Covington Lake Dr, Fort Wayne, IN 46804-2515 | 2007-01-25 |
1659391506 | Gregory Robert Warda | Pediatrics | 2304 Kossuth St, Billing Office, Lafayette, IN 47904-3240 | 2006-07-20 |
1053301143 | Caroline Ann Maylock | Pediatrics | 8111 Township Line Rd, St Vincent's Women's Hospital Dept of Neonatology, Indianapolis, IN 46260-2479 | 2005-10-28 |
1619965803 | Mary Jo Stine | Pediatrics | 35 Bob Babbs Dr, Spencer, IN 47460-6828 | 2005-10-11 |
1538688163 | Coutinho PC | Pediatrics | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2017-09-14 |
1366892192 | Jennifer L Connell | Pediatrics | 705 Riley Hospital Dr, Rr208, Indianapolis, IN 46202-5109 | 2016-06-13 |
1366897605 | Nicholas Theodore Severyn | Pediatrics | 699 Riley Hospital Drive, Rr 208, Indianapolis, IN 46202-5119 | 2016-04-24 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on ST MARGARET MERCY HEALTHCARE CENTERS, INC..
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.