ST MARGARET MERCY HEALTHCARE CENTERS (NPI# 1679857411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679857411 |
| Entity Type | Organization |
| Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS |
| Other Organization Name | SPECIALTY HEALTH CENTER-GYNECOLOGIC ONCOLOGY |
| Practice Address |
24 Joliet St Dyer IN 46311-1705 |
| Mailing Address |
1040 Sierra Dr Greenwood IN 46143-7240 |
| Practice Telephone | 2198642580 |
| Practice Fax Number | 2198647614 |
| Mailing Telephone | 3175284248 |
| Mailing Fax Number | 3178658314 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| 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 | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Specialty Health Center-Gynecologic Oncology | 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 |
| 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 |
| 1659448314 | St Margaret Mercy Healthcare Centers | Family Medicine | 10860 Maple Ln, Saint John, IN 46373-8418 | 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 |
24 JOLIET ST |
| City | DYER |
| State | IN |
| Zip Code | 46311-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595361 | Harvey Joseph Levin | Surgery | 24 Joliet St, Ste101, Dyer, IN 46311-1705 | 2005-08-22 |
| 1528687274 | Joshua Alexander Mclaughlin | Student in an Organized Health Care Education/Training Program | 24 Joliet St, Dyer, IN 46311-1705 | 2020-04-13 |
| 1225689169 | Kayla Marie Ranek | Surgery | 24 Joliet St, Dyer, IN 46311-1705 | 2019-09-23 |
| 1689221061 | Lindsey Marie Kolakoski | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-08-21 |
| 1588225320 | Mindy Ruan | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-24 |
| 1568021434 | Lindsey Marie Kilsdonk | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-13 |
| 1457919292 | Aja Simone Rivera | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-05 |
| 1104387521 | Interventional Spine and Joint Specialists, LLC | Electrodiagnostic Medicine | 24 Joliet St, Dyer, IN 46311-1705 | 2019-03-28 |
| 1841751526 | Artinder Preet Nanrhe | Student in an Organized Health Care Education/Training Program | 24 Joliet St, Dyer, IN 46311-1705 | 2019-03-26 |
| 1306311865 | Joan Levesque | Counselor | 24 Joliet St, Dyer, IN 46311-1705 | 2018-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215198080 | Emma Caroline Rossi | Obstetrics & Gynecology | 1030 W. Michigan St., Indianapolis, IN 46202 | 2008-06-24 |
| 1639343619 | Nabila Rasool | Obstetrics & Gynecology | 8111 S Emerson Ave # 204, Indianapolis, IN 46237 | 2008-04-21 |
| 1386634236 | Paul C Liu | Obstetrics & Gynecology | 100 Navarre Pl Ste 4470, South Bend, IN 46601-1168 | 2005-10-24 |
| 1437146081 | John P. Geisler | Obstetrics & Gynecology | 2510 E Dupont Rd Ste 236, Fort Wayne, IN 46825-1603 | 2005-09-29 |
| 1154317675 | James Robert Dunlop | Obstetrics & Gynecology | 8051 S Emerson Ave Ste 400, Indianapolis, IN 46237-8633 | 2005-09-20 |
| 1437153913 | Michael W Method | Obstetrics & Gynecology | 7979 N Shadeland Ave, Ste 310, Indianapolis, IN 46250-2042 | 2005-06-13 |
| 1821482431 | Beacon Medical Group, Inc. | Obstetrics & Gynecology | 100 Navarre Pl Ste 4470, South Bend, IN 46601-1168 | 2015-03-20 |
| 1295141380 | Gynecologic Oncology of Northeast Indiana, LLC | Obstetrics & Gynecology | 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 | 2014-07-09 |
| 1053677591 | Sarah Dilley | Obstetrics & Gynecology | 7979 N Shadeland Ave Ste 310, Indianapolis, IN 46250 | 2012-04-10 |
| 1215203559 | Megan Elyse Buechel | Obstetrics & Gynecology | 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260-2053 | 2012-03-30 |
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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.