ST MARGARET MERCY HEALTHCARE CENTERS, INC. (NPI# 1285713438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285713438 |
| Entity Type | Organization |
| Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS, INC. |
| Other Organization Name | SOUTH RIDGE MEDICAL |
| Practice Address |
2421 Laporte Ave Valparaiso IN 46383-6914 |
| Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
| Practice Telephone | 2194624167 |
| Practice Fax Number | 2194620426 |
| Mailing Telephone | 2198642107 |
| Mailing Fax Number | 2198642251 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMAS GRYZBEK (PRESIDENT) |
| Authorized Official Telephone | 2199322300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| South Ridge Medical | 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 |
| 1124190020 | St Margaret Mercy Healthcare Centers, Inc. | Ophthalmology | 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 |
| 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 |
| Street Address |
2421 LAPORTE AVE |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-6914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015385 | Michael Manakas | Family Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-07-01 |
| 1235773110 | Tiffany C Orange | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2019-11-04 |
| 1013434638 | Hallie Orgel | Registered Nurse | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2017-08-24 |
| 1811346307 | Meredith White | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2016-06-06 |
| 1902254733 | Tamara Lynn Kay | Nurse Practitioner | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2016-06-02 |
| 1326451030 | Janet Anne Bilder | Family Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2014-06-10 |
| 1538152103 | Ruolan Lori Pi | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-29 |
| 1609868207 | Jeffrey Patrick Gatz | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-19 |
| 1972595726 | Eugene Lin | Internal Medicine | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-08-18 |
| 1306843685 | Joe Clinkenbeard | Physician Assistant | 2421 Laporte Ave, Valparaiso, IN 46383-6914 | 2005-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013280965 | Mazen Zaitoon | Internal Medicine | 85 East United States 6 Frontage, Valparaiso, IN 46383 | 2012-02-22 |
| 1457672685 | Ibrahim Ebada Sadek | Internal Medicine | 600 Vale Park Rd., Unit A, Valparaiso, IN 46383 | 2010-06-22 |
| 1922326370 | Nadeem U Kamran,md, LLC | Internal Medicine | 3141 Pepper Creek Bridge Pkwy, Valparaiso, IN 46385-7128 | 2010-05-10 |
| 1154571529 | Helda Barakat | Internal Medicine | 2000 Roosevelt Rd Ste 203, Valparaiso, IN 46383-2802 | 2008-09-23 |
| 1568665917 | Majed Al-hamwi | Internal Medicine | 1551 South Sturdy Road, Valparaiso, IN 46383 | 2007-06-05 |
| 1467501601 | Sunil N Patel | Internal Medicine | 813 Porter Campus Dr, Valparaiso, IN 46383-0063 | 2007-01-09 |
| 1851492177 | Porter County Internal Medicine PC | Internal Medicine | 3705 Quail Covey Drive, Valparaiso, IN 46383-2278 | 2006-09-26 |
| 1508977984 | Robert J Buynak | Internal Medicine | 454 College Ave, Valparaiso, IN 46383-6512 | 2006-08-31 |
| 1255394805 | Atimanaparampil N. Damodaran | Internal Medicine | 187 Wexford Rd, Valparaiso, IN 46385-8038 | 2006-04-06 |
| 1932160215 | Daniela Mitko Sikoski | Internal Medicine | 1231 Cumberland Xing, Valparaiso, IN 46383 | 2006-03-28 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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.