ST CATHERINE PHYSICIAN SERVICES OF INDIANA


Address: 417 West Colonel Way, Henryville, IN 47126
Phone: 8122941470

ST CATHERINE PHYSICIAN SERVICES OF INDIANA (NPI# 1629252515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629252515
Entity Type Organization
Organization Name ST CATHERINE PHYSICIAN SERVICES OF INDIANA
Practice Address 417 West Colonel Way
Henryville
IN 47126
Practice Telephone 8122941470
Mailing Telephone 8122941470
Enumeration Date 2007-12-27
Last Update Date 2008-03-26
Authorized Official Name ROBERT LANE (CEO)
Authorized Official Telephone 8122563301
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 01052944A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN ANTHEM BC/BS 000000550438 01
IN UPIN H30374 01

Office Location

Street Address 417 WEST COLONEL WAY
City HENRYVILLE
State IN
Zip Code 47126

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003052184 Rescare, Inc. Intermediate Care Facility, Mentally Retarded 16609 Sima Gray Rd, Henryville, IN 47126-8626 2008-12-19
1912143009 Rescare, Inc. Intermediate Care Facility, Mentally Retarded 16611 Sima Gray Rd, Henryville, IN 47126-8626 2008-12-19
1649416736 Rescare, Inc. Intermediate Care Facility, Mentally Retarded 16613 Sima Gray Rd, Henryville, IN 47126-8626 2008-12-19
1518413681 Sara Louise Henson Specialist/Technologist 1403 Mount Zion Rd, Henryville, IN 47126-8647 2016-08-29
1538316146 Mary Louise Holmes Physical Therapy Assistant 3511 Our St, Henryville, IN 47126-8887 2008-08-26
1649642059 Belinda Gellhaus Registered Nurse 5715 Snow Rd, Henryville, IN 47126-8920 2015-10-25
1679035232 Summit Bhc Henryvillle Substance Abuse Rehabilitation Facility 2602 Hebron Church Rd, Henryville, IN 47126-9021 2019-04-03
1831556141 Lisa Huber Nurse Practitioner 314 S Ferguson St, Henryville, IN 47126-9734 2016-01-19
1902323009 Rhn Clark Memorial Practices LLC Internal Medicine 314 S Ferguson St, Henryville, IN 47126-9734 2017-08-29
1265095848 Andrea Leigh Bottorff Developmental Therapist 310 Prall Rd, Henryville, IN 47126-9743 2019-04-18
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417556465 Neuro Health Indianapolis LLC Family Medicine 1553 W Oak St, Zionsville, IN 46077-1840 2020-10-21
1740887298 Northshore Health Centers, Inc. Family Medicine 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 2020-10-07
1144836990 Rachel Leigh Anderson Family Medicine 996 Bard Ln, Carmel, IN 46032-1072 2020-09-17
1073125225 Relymd Medical Group In, LLC Family Medicine 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 2020-08-19
1386252757 Eventus Wholehealth Midwest Inc Family Medicine 2100 Midway St # 3722, Columbus, IN 47201-3722 2020-07-21
1770105801 My Metabolism Family Medicine 14342 W Prevail Dr, Carmel, IN 46033-7004 2020-05-12
1104452200 Little Company of Mary Hospital of Indiana Inc Family Medicine 695 W 2nd St Ste D, Jasper, IN 47546-3240 2020-03-20
1578199345 Stephanie Anne Dill Family Medicine 1101 Michigan Address, Logansport, IN 46947 2020-03-12
1861027641 Megan Chloe Nonte Family Medicine 837 Bellbrook Rd, Loogootee, IN 47553-4612 2020-03-11
1477192151 Debra Susan Hayes Family Medicine 455 W Industrial Dr, Terre Haute, IN 47802-9266 2019-12-30
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Competitor

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City HENRYVILLE
Zip Code 47126

Improve Information

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Dataset Information

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.

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