ST ANTHONY MEDICAL CENTER (NPI# 1689620981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689620981 |
Entity Type | Organization |
Organization Name | ST ANTHONY MEDICAL CENTER |
Other Organization Name | SAMC EMERGENCY ROOM PHYSICIANS |
Practice Address |
1201 S Main St Emergency Department Crown Point IN 46307-8481 |
Practice Telephone | 2197576218 |
Practice Fax Number | 2196816885 |
Mailing Telephone | 2197576218 |
Mailing Fax Number | 2196816885 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2009-05-13 |
Authorized Official Name | DAVID RUSKOWSKI (CEO) |
Authorized Official Telephone | 2197576103 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200293160 | 05 |
Other Name | Type Code |
---|---|
SAMC Emergency Room Physicians | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568402774 | St Anthony Medical Center | Clinic/Center | 1201 S Main St, Dept Fpn, Crown Point, IN 46307-8481 | 2006-06-07 |
Street Address |
1201 S MAIN ST EMERGENCY DEPARTMENT |
City | CROWN POINT |
State | IN |
Zip Code | 46307-8481 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558366153 | Carrie Shaffer | Emergency Medicine | 1201 S Main St, Crown Point, IN 46307-8481 | 2005-06-20 |
1417561770 | David C Wright | Nurse Anesthetist, Certified Registered | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-09-03 |
1326665043 | Jeinette Javier San Juan | Nurse Practitioner | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-06-29 |
1184250623 | Franciscan Alliance, Inc | Pharmacy | 1201 S Main St, Crown Point, IN 46307-8481 | 2020-03-17 |
1386280253 | Greg Wade | Nurse Practitioner | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-11-26 |
1295370732 | Steven Ferris | Pharmacist | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-11-07 |
1114583564 | Carlo Balmaseda | Registered Nurse | 1201 S Main St, Crown Point, IN 46307-8481 | 2019-05-10 |
1538636808 | Sophia Pollalis | Specialist/Technologist | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-10-25 |
1578038840 | Dharmesh Shah | Pharmacist | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-10-12 |
1609360965 | David Velasco | Nurse Anesthetist, Certified Registered | 1201 S Main St, Crown Point, IN 46307-8481 | 2018-06-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972117935 | Alimat O Biokoro | Home Health Aide | 1446 W 94th Ct., Crown Point, IN 46307 | 2020-09-06 |
1508489931 | Gentle Hearts Cardiovascular Institution LLC | Internal Medicine | 5221 W Lincoln Hwy, Suite 1a, Crown Point, IN 46307 | 2020-05-20 |
1659933646 | Darshak Joshi | Physical Therapist | 860 Stillwater Parkway, Crown Point, IN 46307 | 2019-07-01 |
1215592001 | Jamie Monday | Counselor | 1416 East Joliet St., Crown Point, IN 46307 | 2019-05-07 |
1790281152 | Tempus Labs Inc. | Clinical Medical Laboratory | 9800 Connecticut Drive, Suite A2-100, Crown Point, IN 46307 | 2018-04-04 |
1669991170 | Katie Lynn Eich | Counselor | 1308 N. Main St, Crown Point, IN 46307 | 2017-09-15 |
1053847251 | Nicole Bashan Lewis | Counselor | 1325 W 98th Ave, Crown Point, IN 46307 | 2017-05-08 |
1710433008 | Paul Alvin Clavecilla | Physical Therapist | 1099 South Main St., Apt. 314, Crown Point, IN 46307 | 2016-08-28 |
1851761365 | Cynthia Catherine Grass Black | Social Worker | 8592 Bell Lane, Crown Point, IN 46307 | 2015-09-28 |
1326437799 | Ameya Dorsatwar | Physical Therapist | 1516 North Main St, Crown Point, IN 46307 | 2015-01-22 |
Find all providers in zip 46307 |
Taxonomy Code | 261QE0002X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Emergency Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518509181 | Riverview Hospital | Clinic/Center | 9690 E 116th St, Fishers, IN 46037-2838 | 2019-10-15 |
1821334673 | -trinity Integrative Medicine | Clinic/Center | 100 West Court St, Trinity Integrative Medicine LLC, Jeffersonville, IN 47130 | 2012-12-26 |
1689070245 | Quad Med LLC | Clinic/Center | 502 High St, Logansport, IN 46947-2766 | 2014-11-10 |
1013262351 | Wellness Group, P.C. | Clinic/Center | 802 Laporte Ave, Porter Hospital Wound Care Center, Valparaiso, IN 46383-5860 | 2012-07-23 |
1407007933 | Emergency Medical Group, Inc | Clinic/Center | 1701 N Senate Blvd, Rm Ag001, Indianapolis, IN 46202-1239 | 2008-10-02 |
City | CROWN POINT |
Zip Code | 46307 |
Please comment or provide details below to improve the information on ST ANTHONY MEDICAL CENTER.
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.