ST MARGARET MERCY HEALTHCARE CENTERS, INC. (NPI# 1295807188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295807188 |
| Entity Type | Organization |
| Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS, INC. |
| Other Organization Name | DYER CHILDRENS SERVICES |
| Practice Address |
24 Joliet St Physician Pavilion # 302 Dyer IN 46311-1705 |
| Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
| Practice Telephone | 2198642107 |
| Practice Fax Number | 2198642251 |
| Mailing Telephone | 2198642107 |
| Mailing Fax Number | 2198642251 |
| Enumeration Date | 2006-11-15 |
| 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 |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dyer Childrens Services | 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 |
| 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 |
| 1962572370 | St Margaret Mercy Healthcare Centers, Inc. | Pediatrics | 5530 S Hohman Ave, Hammond, IN 46320-1935 | 2006-11-09 |
| Street Address |
24 JOLIET ST PHYSICIAN PAVILION # 302 |
| City | DYER |
| State | IN |
| Zip Code | 46311-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595361 | Harvey Joseph Levin | Surgery | 24 Joliet St, Ste101, Dyer, IN 46311-1705 | 2005-08-22 |
| 1528687274 | Joshua Alexander Mclaughlin | Student in an Organized Health Care Education/Training Program | 24 Joliet St, Dyer, IN 46311-1705 | 2020-04-13 |
| 1225689169 | Kayla Marie Ranek | Surgery | 24 Joliet St, Dyer, IN 46311-1705 | 2019-09-23 |
| 1689221061 | Lindsey Marie Kolakoski | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-08-21 |
| 1588225320 | Mindy Ruan | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-24 |
| 1568021434 | Lindsey Marie Kilsdonk | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-13 |
| 1457919292 | Aja Simone Rivera | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-05 |
| 1104387521 | Interventional Spine and Joint Specialists, LLC | Electrodiagnostic Medicine | 24 Joliet St, Dyer, IN 46311-1705 | 2019-03-28 |
| 1841751526 | Artinder Preet Nanrhe | Student in an Organized Health Care Education/Training Program | 24 Joliet St, Dyer, IN 46311-1705 | 2019-03-26 |
| 1306311865 | Joan Levesque | Counselor | 24 Joliet St, Dyer, IN 46311-1705 | 2018-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1902809601 | Tae'ni Chang-stroman | Pediatrics | 1160 Joliet St, Ste 103, Dyer, IN 46311-1925 | 2005-05-27 |
| 1326218603 | Erin Angela Crill | Pediatrics | 14785 W 101st Ave, Dyer, IN 46311-3371 | 2008-03-03 |
| 1255487138 | Tae'ni Chang-stroman M.d., P.C. | Pediatrics | 1160 Joliet St, Suite 103, Dyer, IN 46311-2096 | 2007-01-25 |
| 1679623615 | Kenan Qin | Pediatrics | 1160 Joliet St, Suite 103, Dyer, IN 46311-2096 | 2007-01-11 |
| 1023129020 | Nancy J Albright | Pediatrics | 1160 Joliet St, Suite 103, Dyer, IN 46311-2096 | 2006-08-31 |
| 1124010970 | Reena John | Pediatrics | 14785 W 101st Ave, Dyer, IN 46311-3371 | 2005-08-18 |
| 1265424212 | Parul G Pathak | Pediatrics | 1160 Joliet St, Suite 103, Dyer, IN 46311-2096 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404165 | Long Term Care and Rehab Consultants LLC | Pediatrics | 4919 Charlestown Rd, New Albany, IN 47150-9426 | 2020-07-22 |
| 1295358265 | Culver Pediatrics Center, Inc | Pediatrics | 16427 18th Rd, Culver, IN 46511-9754 | 2020-05-25 |
| 1497399927 | Primary Care Partners of South Bend | Pediatrics | 300 S Saint Louis Blvd Ste 204, South Bend, IN 46617-3044 | 2019-10-28 |
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1578009114 | Charles W Bemm | Pediatrics | 3783 E State Road 18, Marion, IN 46952-8768 | 2017-01-06 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1518316264 | Christine Marie Timmer Firlit | Pediatrics | 1946 45th St Ste C, Munster, IN 46321-3986 | 2016-06-03 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1245685114 | Brogan D Hayden | Pediatrics | 100 Hospital Ln Ste 200, Danville, IN 46122-1993 | 2016-04-28 |
| 1649624529 | Corin Marshall | Pediatrics | 1001 Hadley Rd Ste Ll050, Mooresville, IN 46158-1883 | 2016-04-18 |
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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.