ST MARGARET MERCY HEALTHCARE CENTERS (NPI# 1659448314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659448314 |
| Entity Type | Organization |
| Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS |
| Other Organization Name | ST JOHN FAMILY SERVICES |
| Practice Address |
10860 Maple Ln Saint John IN 46373-8418 |
| Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
| Practice Telephone | 2193657000 |
| Practice Fax Number | 2193652609 |
| Mailing Telephone | 2193657000 |
| Mailing Fax Number | 2193652609 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | THOMAS GRYZBEK (PRESIDENT) |
| Authorized Official Telephone | 2199322300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS GROUP NUMBER | 0090000854 | 01 |
| IN | 200159110Y | 05 |
| Other Name | Type Code |
|---|---|
| St John Family Services | 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 |
| 1487726378 | St Margaret Mercy Healthcare Centers | Family Medicine | 24 Joliet St, Unit 302, Dyer, IN 46311-1705 | 2006-11-15 |
| Street Address |
10860 MAPLE LN |
| City | SAINT JOHN |
| State | IN |
| Zip Code | 46373-8418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770671646 | Soraya Sharfaei | Internal Medicine | 10860 Maple Ln, Saint John, IN 46373-8418 | 2006-10-10 |
| 1811521834 | Angela Marie Vittorio-wilson | Nurse Practitioner | 10860 Maple Ln, Saint John, IN 46373-8418 | 2020-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641123 | Lisa A Arteaga | Occupational Therapy Assistant | 10700 Park Place of St John, St John, IN 46373 | 2020-02-17 |
| 1306493507 | Athletico Ltd | Physical Therapist | 10081 Wicker Ave #4, Saint John, IN 46373 | 2019-08-22 |
| 1083014971 | Courtney Olavarria | Registered Nurse | 8915 West 93rd Avenue, Clark Middle School, Saint John, IN 46373 | 2014-08-27 |
| 1316368111 | Tracy Lynn Wargo | Registered Nurse | 8801 Wicker Ave., Kolling Elementary, St. John, IN 46373 | 2013-12-20 |
| 1245587989 | Joshua Dejong | Physical Therapist | 10200 Wicker Ave Ste 1, Saint John, IN 46373 | 2012-08-13 |
| 1053406629 | Corlin Alden Stein | Chiropractor | 9161 Wicker Avenue (us 41), St. John, IN 46373 | 2006-10-03 |
| 1235190216 | Tarak R Chokshi | Internal Medicine | 10200 Wicker Avenue, St John, IN 46373 | 2006-03-30 |
| 1154397057 | Norbert A Matulis | Dentist | 9207 Wicker Avenue, St John, IN 46373 | 2006-02-28 |
| 1568462729 | Keith R. Pitchford | Orthopaedic Surgery | 9615 Keilman Street, Saint John, IN 46373 | 2005-07-28 |
| 1528483021 | Creating Smiles PC | Dentist | 8217 Wicker Ave, St John, IN 46373 | 2014-02-20 |
| Find all providers in zip 46373 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487045399 | Jonathan Ramos | Family Medicine | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2015-02-13 |
| 1629480686 | Community Care Network, Inc | Family Medicine | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2014-05-27 |
| 1326333618 | Joseen A Bryant | Family Medicine | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2011-06-14 |
| 1184944886 | Aisha Aslam | Family Medicine | 11355 W 97th Ln, Saint John, IN 46373 | 2010-06-03 |
| 1124343439 | Munster Medical Research Foundation Inc | Family Medicine | 9660 Wicker Avenue, Saint John, IN 46373-9487 | 2010-03-30 |
| 1588989891 | Munster Medical Research Foundation Inc | Family Medicine | 9660 Wicker Ave, Saint John, IN 46373-9487 | 2010-03-30 |
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|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOHN |
| Zip Code | 46373 |
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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.