ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC (NPI# 1669633053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669633053 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC |
| Other Organization Name | BELLEMEADE INTERNAL MEDICINE |
| Practice Address |
3801 Bellemeade Ave Suite 200-c Evansville IN 47714-0100 |
| Practice Telephone | 8124851717 |
| Mailing Telephone | 8124851717 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2011-09-12 |
| Authorized Official Name | KAREN KEIL (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8124851827 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200903430B | 05 |
| Other Name | Type Code |
|---|---|
| Bellemeade Internal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306130109 | St. Mary's Physicians' Health Group, LLC | Family Medicine | 835 South 9th Ave, Haubstadt, IN 47639-0370 | 2011-06-09 |
| 1023279411 | St. Mary's Physicians' Health Group, LLC | Family Medicine | 3801 Bellemeade Ave, Suite 200-b, Evansville, IN 47714-0100 | 2008-06-19 |
| 1578724969 | St. Mary's Physicians' Health Group, LLC | Nurse Practitioner | 3801 Bellemeade Ave, Suite 200-e, Evansville, IN 47714-0100 | 2008-06-19 |
| 1295996684 | St. Mary's Physicians' Health Group, LLC | Nurse Practitioner | 3801 Bellemeade Ave, Suite 200-a, Evansville, IN 47714-0100 | 2008-06-19 |
| 1124289517 | St. Mary's Physicians' Health Group, LLC | Internal Medicine | 801 Saint Marys Dr, Suite 302-e, Evansville, IN 47714-0511 | 2008-06-19 |
| 1912167651 | St. Mary's Physicians' Health Group, LLC | Family Medicine | 801 Saint Marys Dr, Suite 110-e, Evansville, IN 47714-0511 | 2008-06-16 |
| Street Address |
3801 BELLEMEADE AVE SUITE 200-C |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460129 | Gregory L Hayden | Ophthalmology | 3801 Bellemeade Ave, Suite 320, Evansville, IN 47714-0100 | 2005-07-08 |
| 1407416472 | Logan Orr | Podiatrist | 3801 Bellemeade Ave, Evansville, IN 47714-0100 | 2019-06-20 |
| 1457729915 | Joseph Amos | Nurse Practitioner | 3801 Bellemeade Ave, Ste 200e, Evansville, IN 47714-0115 | 2015-09-14 |
| 1538564059 | Nicole Stricklen | Nurse Practitioner | 3801 Bellemeade Ave, Ste 200c, Evansville, IN 47714-0100 | 2014-10-27 |
| 1457615064 | Christopher Scott Jetter | Podiatrist | 3801 Bellemeade Ave, Evansville, IN 47714-0100 | 2012-06-28 |
| 1982910253 | Hayden Vision LLC | Ophthalmology | 3801 Bellemeade Ave, Evansville, IN 47714-0100 | 2010-08-25 |
| 1295040848 | Sarah Elizabeth Ice | Nurse Practitioner | 3801 Bellemeade Ave, Suite 200e, Evansville, IN 47714-0100 | 2010-08-06 |
| 1093028201 | St Mary's Medical Center of Evansville, Inc | Surgery | 3801 Bellemeade Ave, Ste 110, Evansville, IN 47714-0100 | 2010-07-16 |
| 1740437342 | Maneesha Ahluwalia | Internal Medicine | 3801 Bellemeade Ave, Ste 200c, Evansville, IN 47714-0100 | 2008-08-26 |
| 1023279411 | St. Mary's Physicians' Health Group, LLC | Family Medicine | 3801 Bellemeade Ave, Suite 200-b, Evansville, IN 47714-0100 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1023464294 | Cleanslate Medical Group of Indiana LLC | Internal Medicine | 4411 Washington Ave Ste 105, Evansville, IN 47714-0805 | 2016-05-06 |
| 1720345929 | Adeel Mohammad Siddiqui | Internal Medicine | 350 W Columbia St Ste 310, Evansville, IN 47710-1782 | 2012-04-12 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1336201243 | Sudheer Gurram | Internal Medicine | 827 S Green River Rd, Evansville, IN 47715-4105 | 2006-12-15 |
| 1780745711 | Lakepointe Internal Medicine, LLC | Internal Medicine | 7201 E Virginia St, Ste D, Evansville, IN 47715-4072 | 2006-12-13 |
| 1811941388 | Jane E Royalty | Internal Medicine | 950 S Kenmore Dr, Evansville, IN 47714-7513 | 2006-05-20 |
| 1770548687 | Waseem Ahmad | Internal Medicine | 3801 Bellemeade Ave Ste 200c, Evansville, IN 47714-0115 | 2006-04-20 |
| 1043282627 | Bachar Malek | Internal Medicine | 4972 Lincoln Ave, Suit 101, Evansville, IN 47715-7909 | 2006-02-07 |
| 1902883291 | Karl W Sash | Internal Medicine | 3801 Bellemeade Ave Ste 200e, Evansville, IN 47714-0114 | 2005-12-28 |
| 1932192069 | Thomas E Vonderhaar | Internal Medicine | 313 W Iowa St, Evansville, IN 47710-1723 | 2005-08-24 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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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.