ST VINCENT MEDICAL GROUP, INC (NPI# 1568740223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568740223 |
| Entity Type | Organization |
| Organization Name | ST VINCENT MEDICAL GROUP, INC |
| Practice Address |
8433 Harcourt Rd Suite 100 Indianapolis IN 46260-2190 |
| Practice Telephone | 3175837600 |
| Practice Fax Number | 3175837601 |
| Mailing Telephone | 3175837600 |
| Mailing Fax Number | 3175837601 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-07-29 |
| Authorized Official Name | ALLISON S ANDRADE (CREDENTIALIST SPECIALIST) |
| Authorized Official Telephone | 3174715200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 125637 | IN | Hospitals |
| Street Address |
8433 HARCOURT RD SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953001 | Melanie A Ladine | Podiatrist | 8433 Harcourt Rd, Suite 210, Indianapolis, IN 46260-2190 | 2005-06-28 |
| 1043708472 | Joseph Ryan Lundberg | Physician Assistant | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2018-05-01 |
| 1114452604 | Sarah Lawson | Nurse Practitioner | 8433 Harcourt Rd, Indianapolis, IN 46260-2190 | 2017-04-22 |
| 1205224433 | Indianapolis Pediatric Dentistry LLC | Dentist | 8433 Harcourt Rd, Suite 307, Indianapolis, IN 46260-2190 | 2014-12-22 |
| 1457691511 | Felicia D Damon | Specialist/Technologist, Other | 8433 Harcourt Rd, Ste 100, Indianapolis, IN 46260-2190 | 2013-02-26 |
| 1518205509 | Ladine Podiatry, PC | Podiatrist | 8433 Harcourt Rd, Suite 210, Indianapolis, IN 46260-2196 | 2013-01-25 |
| 1669716528 | Lauren Pothier | Physician Assistant | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2012-11-16 |
| 1316228042 | Stephanie A Grubb | Specialist/Technologist, Other | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-09-08 |
| 1073891131 | Charles Assue Brown | Perfusionist | 8433 Harcourt Rd, Ste 100, Indianapolis, IN 46260-2190 | 2011-07-23 |
| 1144518523 | June E Killey | Specialist/Technologist, Other | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-07-19 |
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|---|---|---|---|---|
| 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 |
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| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437407848 | Michael T Sahm | Special Hospital | 3300 Prague Rd, Indianapolis, IN 46227-7010 | 2012-08-16 |
| 1538441340 | Walgreen | Special Hospital | 1835 Pemberton Ln, Indianapolis, IN 46260-1577 | 2011-09-16 |
| 1538460191 | Indiana University Medical Center | Special Hospital | 927 Paca St, Indianapolis, IN 46202-2914 | 2010-11-12 |
| 1285822023 | Yu-fan Kelly | Special Hospital | 1481 W 10th St # 116p, Indianapolis, IN 46202-2803 | 2007-10-05 |
| 1356698187 | St. Vincents Sports Performance | Special Hospital | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2012-08-10 |
| 1508979683 | Indiana Orthopaedic Hospital, LLC | Special Hospital | 8400 Northwest Blvd, Indianapolis, IN 46278-1381 | 2006-08-16 |
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|---|---|---|---|---|
| 1316324403 | Indiana Spine Hospital, LLC | Special Hospital | 13219 N. Meridian St, Carmel, IN 46032-5480 | 2015-04-28 |
| 1720374374 | O'hana Heritage Foundation Inc | Special Hospital | 53131 Quince Rd, South Bend, IN 46628-9691 | 2011-06-22 |
| 1568629178 | Indiana University School of Medicine | Special Hospital | 4024 Eldor Flower Dr, Zionsville, IN 46077-8585 | 2008-05-21 |
| 1235150418 | Renaissance Specialty Hospital of Central Indiana Operations Co LLC | Special Hospital | 2401 University Ave 8th Floor North Tower, Muncie, IN 47303-3428 | 2006-07-22 |
| 1124292446 | The Heart Hospital At Deaconess Gateway, LLC | Special Hospital | 4007 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-04-17 |
| 1720271844 | Calumet Surgery Center, LLC | Special Hospital | 7847 Calumet Ave, Munster, IN 46321-1213 | 2007-08-22 |
| 1407869787 | Stanley James Votaw | Special Hospital | 2121 Lake Ave, Fort Wayne, IN 46805-5100 | 2006-08-15 |
| 1982681748 | St. Vincent Heart Center of Indiana, LLC | Special Hospital | 10580 N Meridian St, Carmel, IN 46290-1028 | 2005-12-22 |
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on ST VINCENT MEDICAL GROUP, 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.