LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC (NPI# 1598088064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598088064 |
| Entity Type | Organization |
| Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC |
| Other Organization Name | MEMORIAL HOSPITAL AND HEALTH CARE CENTER |
| Practice Address |
721 W 13th St Suite 225 Jasper IN 47546-1855 |
| Mailing Address |
Po Box 1028 Jasper IN 47547-1028 |
| Practice Telephone | 8129967388 |
| Practice Fax Number | 8129960150 |
| Mailing Telephone | 8129968476 |
| Mailing Fax Number | 8129968497 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2013-02-21 |
| Authorized Official Name | RAYMOND W SNOWDEN (PRESIDENT/CEO) |
| Authorized Official Telephone | 8129962345 |
| Is Organization Subpart | Y |
| Parent Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200048850Y | 05 |
| Other Name | Type Code |
|---|---|
| Memorial Hospital and Health Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
| 1306323597 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 966 Bartley Street, Jasper, IN 47546-2641 | 2018-07-20 |
| 1962857813 | Little Company of Mary Hospital of Indiana Inc | Nurse Practitioner | 3644 E County Road 1600 N, Lincoln City, IN 47552-9662 | 2016-04-28 |
| 1730420829 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 5066 N 900 E, Montgomery, IN 47558-5790 | 2013-03-14 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1972877280 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 6402 E Industrial Lane, Leavenworth, IN 47137-8316 | 2012-03-05 |
| 1881843522 | Little Company of Mary Hospital of Indiana Inc | Clinic/Center | 522 South Maple Street, French Lick, IN 47432 | 2008-09-18 |
| 1588778518 | Little Company of Mary Hospital of Indiana Inc | General Acute Care Hospital | 800 W 9th Street, Jasper, IN 47546-2514 | 2006-08-18 |
| Street Address |
721 W 13TH ST SUITE 225 |
| City | JASPER |
| State | IN |
| Zip Code | 47546-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977337 | Cindy L Casey | Radiology | 721 W 13th St, Jasper, IN 47546-1817 | 2005-07-22 |
| 1154789436 | Richard Moss Md | Clinic/Center | 721 W 13th St, Suite 208, Jasper, IN 47546-1855 | 2016-02-02 |
| 1427424910 | April Susnjara | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-08-19 |
| 1336530500 | Nicole Nale | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-02-10 |
| 1457786501 | Allyson Mudd | Nurse Practitioner | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-09-09 |
| 1427482074 | Evan B Hurst, Md, Internal Medicine, PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-08-29 |
| 1427481852 | Kristen El-houjairy | Nurse Practitioner | 721 W 13th St, Suite 325, Jasper, IN 47546-1855 | 2013-08-21 |
| 1275974255 | Krystle Susan Hahus | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-07-08 |
| 1881031821 | Lindsey Taylor | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-05-31 |
| 1285973016 | Ann B Patterson Md PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1447406301 | Prestige Family Medicine | Internal Medicine | 3400 Highway 78 E, Medical Arts Tower; Suite 110, Jasper, AL 35501-8907 | 2008-08-12 |
| 1710157722 | Beaumont Nephrology Associates | Internal Medicine | 930 Marvin Hancock Dr, Room A, Jasper, TX 75951-4752 | 2008-03-05 |
| 1972567931 | Bhc - Walker Family Practice | Internal Medicine | 3400 Highway 78 E, Medical Arts Tower; Suite 110, Jasper, AL 35501-8907 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225684368 | Fort Wayne Vascular Care LLC | Internal Medicine | 1833 Magnavox Way # 100, Fort Wayne, IN 46804-1539 | 2019-08-14 |
| 1952962516 | Rafael Juan Igartua | Internal Medicine | 1450 Solemar Dr, West Lafayette, IN 47906-8867 | 2019-06-25 |
| 1215463955 | William Louis Macias | Internal Medicine | 9129 Log Run Dr S, Indianapolis, IN 46234-1343 | 2017-05-01 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1679924013 | Peter Eloho Umukoro | Internal Medicine | 950 W Walnut St Rm 202, Indianapolis, IN 46202 | 2016-06-27 |
| 1124423546 | Beacon Medical Group, Inc. | Internal Medicine | 100 Navarre Pl Ste 4400, South Bend, IN 46601-1100 | 2014-10-28 |
| 1619309317 | Kevin Joseph Lavelle | Internal Medicine | 621 First Ave. N.e., Carmel, IN 46032 | 2013-08-05 |
| 1215270897 | Lori Wanko | Internal Medicine | 8205 E 56th St Ste 250, Indianapolis, IN 46216-1097 | 2013-04-01 |
| 1326319724 | Robert Wayne Dettmer | Internal Medicine | 2935 Ambleside Way, Fort Wayne, IN 46804-2443 | 2012-01-18 |
| 1265747703 | Yasser Aldurra | Internal Medicine | 8330 Naab Rd Ste 234, Indianapolis, IN 46260-1932 | 2010-08-09 |
| Find all providers with the same taxonomy | ||||
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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.