ST MARY MEDICAL CENTER INC (NPI# 1306170477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306170477 |
| Entity Type | Organization |
| Organization Name | ST MARY MEDICAL CENTER INC |
| Other Organization Name | INNOVATIVE WOMENS HEALTH |
| Practice Address |
10607 Randolph St Ste C Crown Point IN 46307-7505 |
| Mailing Address |
9660 Wicker Ave St John IN 46373-9487 |
| Practice Telephone | 2196631841 |
| Practice Fax Number | 2196631846 |
| Mailing Telephone | 2192262203 |
| Mailing Fax Number | 2192262202 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2010-07-29 |
| Authorized Official Name | JANICE RYBA (CEO) |
| Authorized Official Telephone | 2199420551 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARYS MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200966140B | 05 | |
| IN | 200966140A | 05 |
| Other Name | Type Code |
|---|---|
| Innovative Womens Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609188598 | St Mary Medical Center Inc | Nurse Practitioner | 850 Marsh Street, Suite C, Valparaiso, IN 46385-6239 | 2010-07-08 |
| 1922319318 | St Mary Medical Center Inc | Obstetrics & Gynecology | 1551 S Sturdy Road, Valparaiso, IN 46383-7883 | 2010-06-30 |
| 1851306690 | St Mary Medical Center Inc | Internal Medicine | 209 E 86th Ct, Merrillville, IN 46410-6529 | 2006-07-30 |
| 1902198831 | St Mary Medical Center Inc | General Practice | 2000 Roosevelt Rd, Ste 5, Valparaiso, IN 46383-2800 | 2011-05-11 |
| 1932417854 | St Mary Medical Center Inc | Urology | 10607 Randolph St, C, Crown Point, IN 46307-7505 | 2010-09-14 |
| 1336457225 | St Mary Medical Center Inc | Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-09-14 |
| 1083925333 | St Mary Medical Center Inc | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2010-07-01 |
| 1639498975 | St Mary Medical Center Inc | Urology | 3545 Arbors Street, Portage, IN 46368-4298 | 2010-05-26 |
| 1932427523 | St Mary Medical Center Inc | Obstetrics & Gynecology | 1400 S Lake Park Ave, Ste 205, Hobart, IN 46342-6790 | 2010-05-07 |
| 1598083347 | St Mary Medical Center Inc | Urology | 1400 S Lake Park Ave, Ste 407, Hobart, IN 46342-6790 | 2010-05-04 |
| Street Address |
10607 RANDOLPH ST STE C |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871634188 | Karen A Mannino | Nurse Practitioner | 10607 Randolph St, Ste C, Crown Point, IN 46307-7505 | 2007-02-09 |
| 1780044701 | Maria Doctor | Physical Therapist | 10607 Randolph St, # E, Crown Point, IN 46307-7504 | 2016-03-03 |
| 1528495058 | Community Care Network, Inc | Urology | 10607 Randolph St, Suite C, Crown Point, IN 46307-7504 | 2013-09-30 |
| 1063848109 | Community Care Network, Inc | Podiatrist | 10607 Randolph St, Suite E, Crown Point, IN 46307-7504 | 2013-09-20 |
| 1649546284 | Jared L Moon | Podiatrist | 10607 Randolph St, Crown Point, IN 46307-7504 | 2012-03-28 |
| 1013210368 | Valerie Cecelia Maguire | Family Medicine | 10607 Randolph St, Ste A, Crown Point, IN 46307-7505 | 2010-12-08 |
| 1932417854 | St Mary Medical Center Inc | Urology | 10607 Randolph St, C, Crown Point, IN 46307-7505 | 2010-09-14 |
| 1437382876 | St Mary Medical Center | Plastic Surgery | 10607 Randolph St, Suite A, Crown Point, IN 46307-7504 | 2009-09-02 |
| 1356570014 | St Mary Medical Center Inc | Plastic Surgery | 10607 Randolph St, Ste A, Crown Point, IN 46307-7504 | 2009-07-02 |
| 1942477435 | Womens Medical Care LLC | Urology | 10607 Randolph St, Crown Point, IN 46307-7504 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
| 1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
| 1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
| 1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
| 1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
| 1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
| 1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
| 1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
| 1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
| 1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
| Find all providers in zip 46307 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598113458 | Zachary Christopher Dobbin | Obstetrics & Gynecology | 10215 Broadway Ste 207, Crown Point, IN 46307-8001 | 2016-06-01 |
| 1104939958 | Mary Eileen Mccormack | Obstetrics & Gynecology | 800 W Burrell Dr, Crown Point, IN 46307-8898 | 2006-08-16 |
| 1578676326 | Jeannine M Mcmahon | Obstetrics & Gynecology | 800 W Burrell Dr., Crown Point, IN 46307 | 2006-08-16 |
| 1467565218 | Merit D Lemke | Obstetrics & Gynecology | 800 W. Burrell Dr., Crown Point, IN 46307 | 2006-08-16 |
| 1881687424 | Pamela Ringland Seaman | Obstetrics & Gynecology | 11376 Broadway, Crown Point, IN 46307-7104 | 2005-08-30 |
| 1902802150 | Mu Rong Lee | Obstetrics & Gynecology | 1121 S Indiana Ave, Crown Point, IN 46307-8516 | 2005-06-22 |
| 1720082522 | Rebecca C Adlaka | Obstetrics & Gynecology | 7280 W Lincoln Hwy, Crown Point, IN 46307-9526 | 2005-06-09 |
| 1013168343 | Nicole M Cataldi | Obstetrics & Gynecology | 800 W Burrell Dr, Crown Point, IN 46307-8898 | 2008-10-06 |
| 1922275460 | Womens Medical Care LLC | Obstetrics & Gynecology | 297 Franciscan Dr, Medical Arts Center, Crown Point, IN 46307-4858 | 2008-05-14 |
| 1386763217 | Crown Point Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 800 W Burrell Dr., Crown Point, IN 46307 | 2007-03-29 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
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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.