ST MARY MEDICAL CENTER INC (NPI# 1356570014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356570014 |
| Entity Type | Organization |
| Organization Name | ST MARY MEDICAL CENTER INC |
| Other Organization Name | KARIN G PATTERSON DO |
| Practice Address |
10607 Randolph St Ste A Crown Point IN 46307-7504 |
| Practice Telephone | 2196634007 |
| Practice Fax Number | 2196634198 |
| Mailing Telephone | 2196634007 |
| Mailing Fax Number | 2196634198 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2010-05-18 |
| Authorized Official Name | MARY F SUDICKY (CFO) |
| Authorized Official Telephone | 2199420551 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 02003280A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | 02003287A | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Karin G Patterson DO | 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 A |
| City | CROWN POINT |
| State | IN |
| Zip Code | 46307-7504 |
| 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 |
| 1306170477 | St Mary Medical Center Inc | Obstetrics & Gynecology | 10607 Randolph St, Ste C, Crown Point, IN 46307-7505 | 2009-09-23 |
| 1437382876 | St Mary Medical Center | Plastic Surgery | 10607 Randolph St, Suite A, Crown Point, IN 46307-7504 | 2009-09-02 |
| 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 | 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 |
|---|---|---|---|---|
| 1497119648 | Danielle Nicole Harris | Family Medicine | 10607 Randolph St Ste A, Crown Point, IN 46307-7505 | 2016-04-13 |
| 1639583404 | Nicole Mosley | Family Medicine | 12800 Mississippi Pkwy Ste B201, Crown Point, IN 46307-6902 | 2014-06-19 |
| 1881947521 | Nuform Physical Therapy LLC | Family Medicine | 10996 Four Seasons Pl Ste 100a, Crown Point, IN 46307-8685 | 2012-10-18 |
| 1124166038 | The Good Doctor, P.C. | Family Medicine | 952 S Court St, Crown Point, IN 46307-4848 | 2007-02-02 |
| 1477600401 | Crown Family Medicine, LLC | Family Medicine | 200 S West St, Crown Point, IN 46307-3908 | 2007-01-04 |
| 1457362519 | Karin G. Patterson | Family Medicine | 10607 Randolph Street, Suite A, Crown Point, IN 46307-7504 | 2006-08-11 |
| 1104843937 | Donald Pesavento | Family Medicine | 9301 Connecticut Drive, Crown Point, IN 46307-7486 | 2006-07-17 |
| 1245260694 | Karen E. Leitzel, Md, LLC | Family Medicine | 7636 E 109th Ave, Crown Point, IN 46307-9182 | 2006-07-03 |
| 1427003060 | Elizabeth Przeniczny | Family Medicine | 5265 Commerce Dr, Crown Point, IN 46307-5326 | 2006-05-23 |
| 1376514950 | Julie Ann Derosa | Family Medicine | 10090 Georgia Street, Suite #3, Crown Point, IN 46307 | 2006-01-31 |
| Find all providers in CROWN POINT | ||||
| City | CROWN POINT |
| Zip Code | 46307 |
Please comment or provide details below to improve the information on ST MARY MEDICAL CENTER 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.