ST MARGARET MERCY HEALTHCARE CENTERS (NPI# 1487726378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487726378 |
Entity Type | Organization |
Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS |
Other Organization Name | MIDWEST BARIATRIC INSTITUTE@ SAINT MARGARET MERCY |
Practice Address |
24 Joliet St Unit 302 Dyer IN 46311-1705 |
Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
Practice Telephone | 2198522518 |
Practice Fax Number | 2198642156 |
Mailing Telephone | 2198642107 |
Mailing Fax Number | 2198642251 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2009-11-23 |
Authorized Official Name | THOMAS GRYZBEK (PRESIDENT) |
Authorized Official Telephone | 2199322300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBC | 90000854 | 01 |
Other Name | Type Code |
---|---|
Midwest Bariatric Institute@ Saint Margaret Mercy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861564361 | St Margaret Mercy Healthcare Centers | Counselor | 312 Ridge Road, Munster, IN 46321-1528 | 2006-11-14 |
1558440149 | St Margaret Mercy Healthcare Centers | Family Medicine | 3831 S Hohman Ave, Hammond, IN 46327-1160 | 2006-11-03 |
1679857411 | St Margaret Mercy Healthcare Centers | Obstetrics & Gynecology | 24 Joliet St, Dyer, IN 46311-1705 | 2011-09-28 |
1376857516 | St Margaret Mercy Healthcare Centers | Pediatrics | 8242 Calumet Ave, Munster, IN 46321-1758 | 2010-07-29 |
1689813495 | St Margaret Mercy Healthcare Centers | Orthopaedic Surgery | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2009-02-18 |
1306085113 | St Margaret Mercy Healthcare Centers | Orthopaedic Surgery | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2009-02-18 |
1336384882 | St Margaret Mercy Healthcare Centers | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2008-12-12 |
1588850259 | St Margaret Mercy Healthcare Centers | Urology | 5454 Hohman Ave, 1 Floor C, Hammond, IN 46320-1931 | 2007-09-17 |
1982771267 | St Margaret Mercy Healthcare Centers | Orthopaedic Surgery | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2006-11-29 |
1659448314 | St Margaret Mercy Healthcare Centers | Family Medicine | 10860 Maple Ln, Saint John, IN 46373-8418 | 2006-11-29 |
Street Address |
24 JOLIET ST UNIT 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 |
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Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972595361 | Harvey Joseph Levin | Surgery | 24 Joliet St, Ste101, Dyer, IN 46311-1705 | 2005-08-22 |
1225689169 | Kayla Marie Ranek | Surgery | 24 Joliet St, Dyer, IN 46311-1705 | 2019-09-23 |
1942354162 | Albert F. Milford IIi | Surgery | 24 Joliet St, Suite 101, Dyer, IN 46311-1705 | 2007-01-23 |
1801968706 | St Margaret Mercy Healthcare Centers, Inc. | Surgery | 24 Joliet St, Ste 101, Dyer, IN 46311-1705 | 2006-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902416076 | Elkhart Clinic, LLC | Surgery | 2240 Karisa Dr Ste 1, Goshen, IN 46526-6943 | 2020-08-04 |
1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
1013568724 | Amber D Petty | Surgery | 2401 W University Ave Ste 403, Muncie, IN 47303-3428 | 2019-09-24 |
1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
1962806851 | Shotaro Sano | Surgery | 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | 2014-10-21 |
1336540814 | Fredrick Allen Hillis | Surgery | 374 S Shore Dr, Culver, IN 46511-8908 | 2014-09-15 |
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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.