ST MARGARET MERCY HEALTHCARE CENTERS, INC.


Address: 5454 S Hohman Ave, Hammond, IN 46320-1931
Phone: 2199332042

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IN 200159110T 05

Other Provider/Organization Names

Other Name Type Code
St Margaret Mercy Children's Group North Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5454 S HOHMAN AVE
City HAMMOND
State IN
Zip Code 46320-1931

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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City HAMMOND
Zip Code 46320

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Dataset Information

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.

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