ST MARY MEDICAL CENTER (NPI# 1437382876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437382876 |
| Entity Type | Organization |
| Organization Name | ST MARY MEDICAL CENTER |
| Other Organization Name | JONATHAN G. PATTERSON D.O. |
| Practice Address |
10607 Randolph St Suite A Crown Point IN 46307-7504 |
| Practice Telephone | 2196634007 |
| Practice Fax Number | 2196634198 |
| Mailing Telephone | 2196634007 |
| Mailing Fax Number | 2196634198 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |
| Authorized Official Name | MARY F SUDICKY (CFO) |
| Authorized Official Telephone | 2199420551 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| JONATHAN G. PATTERSON D.O. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801215587 | St Mary Medical Center | General Acute Care Hospital | 1201 Newtown-langhorne Road, Langhorne, PA 19047 | 2014-04-10 |
| 1922246545 | St Mary Medical Center | General Acute Care Hospital | 500 Hilbrich Dr, Schererville, IN 46375-4300 | 2009-02-04 |
| 1083622286 | St Mary Medical Center | Pediatrics | 2546 Knights Rd, Bensalem, PA 19020 | 2006-08-03 |
| 1225072176 | St Mary Medical Center | Home Health | 3405 N Seminary St, Galesburg, IL 61401-1251 | 2006-06-15 |
| 1780686931 | St Mary Medical Center | Rehabilitation Unit | 1201 Langhorne-newtown Rd, Langhorne, PA 19047-1295 | 2005-06-01 |
| 1710470323 | St Mary Medical Center | Internal Medicine | 2546b Knights Rd, Bensalem, PA 19020 | 2018-06-08 |
| 1255743183 | St Mary Medical Center | General Acute Care Hospital | 1201 Newtown-langhorne Road, Langhorne, PA 19047 | 2014-05-27 |
| 1922439785 | St Mary Medical Center | Anesthesiology | 3333 N Seminary St, Galesburg, IL 61401-1251 | 2013-12-04 |
| 1437425741 | St Mary Medical Center | General Acute Care Hospital | 1201 Langhorne Newtown Rd, Langhorne, PA 19047-1201 | 2012-03-30 |
| 1457629974 | St Mary Medical Center | General Acute Care Hospital | 1050 Linden Ave, Long Beach, CA 90813-3321 | 2011-12-12 |
| Street Address |
10607 RANDOLPH ST SUITE 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 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356570014 | St Mary Medical Center Inc | Plastic Surgery | 10607 Randolph St, Ste A, Crown Point, IN 46307-7504 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215476981 | Nabil Elsahy | Plastic Surgery | 11680 Bluefin Ct, Indianapolis, IN 46236-8500 | 2017-02-14 |
| 1942543681 | Navid Pourtaheri | Plastic Surgery | 705 Riley Hospital Dr Ste 3538, Indianapolis, IN 46202-5109 | 2013-04-01 |
| 1174850598 | Alexis Armour | Plastic Surgery | 368 Bielby Rd Ste 120, Lawrenceburg, IN 47025-1067 | 2009-11-05 |
| 1558597807 | Sewit Amde | Plastic Surgery | 300 E Boyd Avenue, Suite 100, Greenfield, IN 46140-2816 | 2009-06-01 |
| 1841432374 | David S. Slatton Md, PC | Plastic Surgery | 9302 N. Meridian Street, Suite 220, Indianapolis, IN 46260 | 2009-03-30 |
| 1790942175 | Ovidiu Gratian Cristea | Plastic Surgery | 2158 Intelliplex Dr Ste 100, Shelbyville, IN 46176-8548 | 2008-05-22 |
| 1497926893 | Advanced Plastic Surgery of Terre Haute, LLC | Plastic Surgery | 100 E Halt Dr, Terre Haute, IN 47802-4210 | 2008-03-13 |
| 1992916290 | Ryan Patrick Flannagan | Plastic Surgery | 2005 Saint Charles St Ste 4, Jasper, IN 47546-9146 | 2007-05-25 |
| 1457573917 | Jessica Nguyen Gillespie | Plastic Surgery | 8051 South Emerson Avenue, Suite 450, Indianapolis, IN 46237 | 2007-05-03 |
| 1831220938 | William C Sando | Plastic Surgery | 9700 E 146th St Ste 150, Noblesville, IN 46060-4333 | 2007-03-08 |
| Find all providers with the same taxonomy | ||||
| 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.