SAINT JOHN'S HEALTH SYSTEM (NPI# 1154437531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154437531 |
| Entity Type | Organization |
| Organization Name | SAINT JOHN'S HEALTH SYSTEM |
| Other Organization Name | ALEXANDRIA HEALTH CENTER |
| Practice Address |
2012 S Park Ave Alexandria IN 46001-8194 |
| Practice Telephone | 7657246226 |
| Practice Fax Number | 7657246228 |
| Mailing Telephone | 7657246226 |
| Mailing Fax Number | 7657246228 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES W MOORE (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 7656468105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Alexandria Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831270164 | Saint John's Health System | Preventive Medicine | 4925 S Scatterfield Rd, Anderson, IN 46013-2911 | 2006-10-17 |
| 1417065764 | Saint John's Health System | Pediatrics | 15 W 19th St, Anderson, IN 46016-4306 | 2006-08-28 |
| 1487760849 | Saint John's Health System | Family Medicine | 75 Village Dr, Pendleton, IN 46064-8960 | 2006-08-21 |
| Street Address |
2012 S PARK AVE |
| City | ALEXANDRIA |
| State | IN |
| Zip Code | 46001-8194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033644216 | Amanda R Tucker | Nurse Practitioner | 2012 S Park Ave, Alexandria, IN 46001-8194 | 2017-04-26 |
| 1215336219 | Rhonda A Goforth | Nurse Practitioner | 2012 S Park Ave, Alexandria, IN 46001-8194 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992293187 | Amber Marie Wisehart | Nurse Practitioner | 121 W Washington St, Alexandria, IN 46001 | 2018-04-24 |
| 1629504709 | Melissa Rex | Speech-Language Pathologist | 1912 S Park Ave, Alexandria, IN 46001 | 2017-05-10 |
| 1427497932 | Yochana R Gavva | Family Medicine | 2116 S Park Ave, Alexandria, IN 46001 | 2013-06-18 |
| 1235201021 | J Chester Long II | Pharmacy | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2006-11-15 |
| 1528256229 | My Urban Clinic, Inc | Clinic/Center | 1405 N Park Ave, Alexandria, IN 46001-1466 | 2007-10-09 |
| 1538530407 | Mitchel Yeagy | Specialist/Technologist | 305 N Edgeway Dr, Alexandria, IN 46001-1603 | 2015-10-16 |
| 1306039839 | Jessica Lee Cottrell | Licensed Practical Nurse | 604 W Broadway St, Alexandria, IN 46001-1721 | 2007-08-17 |
| 1982245239 | Drew Joseph Gleitsmann | Psychologist | 121 W Washington St, Alexandria, IN 46001-1809 | 2019-10-07 |
| 1619433513 | Meridian Health Services Corp | Clinic/Center | 101 N Harrison St, Alexandria, IN 46001-2017 | 2019-02-15 |
| 1821098005 | David C Steele | Dentist | 113 S Harrison St, Alexandria, IN 46001-2021 | 2005-07-28 |
| Find all providers in zip 46001 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1770147597 | Winn Community Health Center, Inc. | Family Medicine | 601 Cloverleaf Blvd, Alexandria, LA 71303-3808 | 2019-04-26 |
| 1477094860 | Kwabena Bonsu Owusu-boateng | Family Medicine | 8109 Tis Well Drive, Suite 511, Alexandria, VA 22306 | 2017-03-17 |
| 1821475823 | Shrey Carpenter | Family Medicine | 3000 Potomac Ave, Alexandria, VA 22305-3084 | 2015-04-29 |
| 1104161801 | Loudoun Medical Group PC | Family Medicine | 901 N Pitt Street, Suite 150, Alexandria, VA 22314-1564 | 2012-12-06 |
| 1730423856 | Patient First Richmond Medical Group Pllc | Family Medicine | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-15 |
| 1235484189 | Michelle R Beurlot | Family Medicine | 1587 N Bolton Ave Ste 1100, Alexandria, LA 71303-4255 | 2012-07-17 |
| 1225324775 | David Nicholas Aymond | Family Medicine | 821 Elliott Street, Alexandria, LA 71301 | 2011-06-23 |
| 1902197544 | Sofia H Qureshi | Family Medicine | 300 Commercial Circle, Alexandria, KY 41001-2107 | 2011-05-01 |
| 1215258165 | Anca I Sisu | Family Medicine | 20 S Quaker Ln Ste 220, Alexandria, VA 22314-4500 | 2010-06-15 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 46001 |
Please comment or provide details below to improve the information on SAINT JOHN'S HEALTH SYSTEM.
| 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.