ST. VINCENT MEDICAL GROUP, INC. (NPI# 1144513375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144513375 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT MEDICAL GROUP, INC. |
| Other Organization Name | ASCENSION MEDICAL GROUP ST. VINCENT |
| Practice Address |
409 E Greenville Ave Winchester IN 47394-9436 |
| Mailing Address |
250 W 96th St Ste 520 Indianapolis IN 46260-1317 |
| Practice Telephone | 7655840251 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | BRIAN MORRIS (CFO) |
| Authorized Official Telephone | 3173386234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ascension Medical Group St. Vincent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317964 | St. Vincent Medical Group, Inc. | Health Educator | 401 E Michigan St, Indianapolis, IN 46204-1643 | 2020-02-06 |
| 1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
| 1578162988 | St. Vincent Medical Group, Inc. | Preventive Medicine | 1579 Olive Branch Parke Lane, #180, Greenwood, IN 46143-5754 | 2020-10-19 |
| 1750998795 | St. Vincent Medical Group, Inc. | Preventive Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2020-09-24 |
| 1194251439 | St. Vincent Medical Group, Inc. | Clinic/Center | 590 Pit Rd, #200, Brownsburg, IN 46112 | 2017-05-05 |
| 1962946459 | St. Vincent Medical Group, Inc. | Clinic/Center | 1684 Bush Ln, #100, Crawfordsville, IN 47933 | 2016-12-19 |
| 1902349483 | St. Vincent Medical Group, Inc. | Clinic/Center | 2155 E Main St, 150, Plainfield, IN 46168 | 2016-12-01 |
| 1124459573 | St. Vincent Medical Group, Inc. | Pharmacy | 7408 W State Road 28, Suite 1, Elwood, IN 46036-8600 | 2013-12-11 |
| 1144560350 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite C, Frankfort, IN 46041-3377 | 2013-02-25 |
| 1962747410 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite A, Frankfort, IN 46041-3377 | 2012-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. VINCENT MEDICAL GROUP, INC. | 10330 N. Meridian St., Suite 300, Indianapolis, IN 46290 |
| Street Address |
409 E GREENVILLE AVE |
| City | WINCHESTER |
| State | IN |
| Zip Code | 47394-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990393 | Kenneth Sowinski | Family Medicine | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2005-05-27 |
| 1558879577 | Jennifer Basford | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394-9464 | 2018-01-11 |
| 1366874794 | Kelly J Campbell | Nurse Practitioner | 409 E Greenville Ave, Suite 300, Winchester, IN 47394-9436 | 2013-08-08 |
| 1962840801 | Andrew Nathan Felman | Obstetrics & Gynecology | 409 E Greenville Ave, Winchester, IN 47394-9464 | 2013-06-13 |
| 1225301740 | St. Vincent Medical Group, Inc. | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2012-02-14 |
| 1548582950 | Samantha M Morris | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2010-02-26 |
| 1568619955 | Mabrey Jen Chamberlin | Advanced Practice Midwife | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2008-08-27 |
| 1285899914 | Amanda K Whitenack | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2008-07-22 |
| 1720282189 | Jessica R Williams | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2007-06-12 |
| 1982779328 | St. Vincent Physician Network, LLC | Clinic/Center | 409 E Greenville Ave, Winchester, IN 47394-9436 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053889113 | Kristen Michelle Bogue | Nurse Practitioner | 910 E Washingon Street Suite 2, Winchester, IN 47394 | 2018-11-07 |
| 1972043305 | Lacie Shae Burge | Nurse Practitioner | 400 South Oak Street, Randolph Medical Center, Winchester, IN 47394 | 2017-03-04 |
| 1598018913 | Taylor L Stephens | Social Worker | 325 S Oak St, 103, Winchester, IN 47394 | 2012-10-23 |
| 1518189323 | Cari Prinkey | Pharmacist | 473 Greenville Avenue, Winchester, IN 47394 | 2007-05-02 |
| 1083708432 | Help-call & Rescue | Home Health | 605 West Newton, Winchester, IN 47394 | 2006-10-02 |
| 1184031932 | Pauletta J Hummel | Nurse Practitioner | 473 E Greenville Ave, Winchester, IN 47394 | 2014-07-14 |
| 1043291206 | Gregory Paul Calkins | Emergency Medicine | 473 E Greenville Ave, Winchester, IN 47394 | 2005-11-07 |
| 1184874331 | Dianna L. Naylor | Counselor | 730 W Washington St, Winchester, IN 47394-1425 | 2008-09-24 |
| 1619582673 | Kristen Lea Grilliot | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2020-09-15 |
| 1609245133 | Tonia Childers | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2015-09-15 |
| Find all providers in zip 47394 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659402592 | James M Gibbons | Orthopaedic Surgery | 7 Wainwright Rd, Unit #106, Winchester, MA 01890-2300 | 2007-03-09 |
| 1265509285 | James Warren Rice | Orthopaedic Surgery | 400 Shoppers Dr, Winchester, KY 40391 | 2006-11-29 |
| 1861436313 | Dennis Watkins Wise | Orthopaedic Surgery | 128 Medical Cir, Winchester, VA 22601-3322 | 2006-06-15 |
| 1770539009 | Lloyd Keith Brown | Orthopaedic Surgery | 144 Hospital Rd, Winchester, TN 37398-2402 | 2006-05-26 |
| 1710948898 | Richard J Patterson II | Orthopaedic Surgery | 152 Linden Dr, Winchester, VA 22601-2818 | 2006-03-29 |
| 1255392486 | Bernard M Swope | Orthopaedic Surgery | 190 Campus Blvd Ste 310, Winchester, VA 22601-2872 | 2006-03-29 |
| 1689231912 | Shenandoah University | Orthopaedic Surgery | 1460 University Dr, Winchester, VA 22601-5100 | 2019-05-22 |
| 1962840082 | Steven I Pancio II | Orthopaedic Surgery | 152 Linden Dr, Winchester, VA 22601-2818 | 2013-06-11 |
| 1861838476 | Amg - Southern Tennessee, LLC | Orthopaedic Surgery | 183 Hospital Rd, Suite B, Winchester, TN 37398-2470 | 2013-05-22 |
| 1528312592 | Jennifer Faith Williams | Orthopaedic Surgery | 190 Campus Blvd, Suite 310, Winchester, VA 22601-2872 | 2012-10-30 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 47394 |
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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.