ST VINCENT MEDICAL GROUP INC (NPI# 1558686436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558686436 |
Entity Type | Organization |
Organization Name | ST VINCENT MEDICAL GROUP INC |
Practice Address |
8425 Harcourt Rd Indianapolis IN 46260-2036 |
Mailing Address |
Po Box 636781 Cincinnati OH 45263-6781 |
Practice Telephone | 3174714098 |
Mailing Telephone | 3174714098 |
Enumeration Date | 2010-04-02 |
Last Update Date | 2011-03-11 |
Authorized Official Name | JOHN STEWART (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3175835455 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851780266 | St Vincent Medical Group Inc | Durable Medical Equipment & Medical Supplies | 13420 N Meridian St, #115, Carmel, IN 46032-1580 | 2015-01-22 |
1255676854 | St Vincent Medical Group Inc | Durable Medical Equipment & Medical Supplies | 1201 Oak St, Frankfort, IN 46041-3350 | 2012-12-07 |
Street Address |
8425 HARCOURT RD |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46260-2036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548242316 | Worthe S Holt Jr. | Family Medicine | 8425 Harcourt Rd, Indianapolis, IN 46260-2036 | 2005-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
Find all providers in zip 46260 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124381751 | Robert W Godley II | Internal Medicine | Community Physicians of Indiana, Inc., 1402 E. County Line Rad, Indianapolis, IN 46227-0963 | 2012-06-19 |
1154550143 | Vitality Health Group | Internal Medicine | 1702 W Michigan St, Indianapolis, IN 46222-3983 | 2009-07-10 |
1689860819 | Mohammad M Marashdeh | Internal Medicine | 1400 N Ritter Ave Ste 520, Indianapolis, IN 46219-3052 | 2007-09-20 |
1346448305 | Mark Daniel Fisch | Internal Medicine | 1801 N Senate Boulevard, Suite 310, Indianapolis, IN 46202-1196 | 2007-07-10 |
1669550588 | Heart Partners of Indiana LLC | Internal Medicine | 8075 N Shadeland, #350, Indianapolis, IN 46250 | 2006-11-01 |
1821186933 | Bertram Anthony Graves | Internal Medicine | 3737 N. Meridian St., Suite 104, Indianapolis, IN 46208-4357 | 2006-10-11 |
1902860752 | Douglas P Zipes | Internal Medicine | 1801 N Capitol Ave, Indianapolis, IN 46202-1217 | 2006-04-17 |
1275532525 | Richard Hahn | Internal Medicine | 1207 Selkirk Ln, Indianapolis, IN 46260-1227 | 2005-07-19 |
1487651329 | Louis F. Janeira | Internal Medicine | 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 | 2005-07-07 |
1922560465 | Cind Care of In, LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2019-04-03 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46260 |
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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.