ST. VINCENT MEDICAL GROUP, INC. (NPI# 1750998795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750998795 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT MEDICAL GROUP, INC. |
| Practice Address |
14828 Greyhound Ct Ste 100 Carmel IN 46032-5016 |
| Mailing Address |
250 W 96th St Ste 520 Indianapolis IN 46260-1317 |
| Practice Telephone | 3175829200 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | BRIAN MORRIS (CFO) |
| Authorized Official Telephone | 3173386234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ASCENSION MEDICAL GROUP ST. VINCENT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317964 | St. Vincent Medical Group, Inc. | Health Educator | 401 E Michigan St, Indianapolis, IN 46204-1643 | 2020-02-06 |
| 1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
| 1578162988 | St. Vincent Medical Group, Inc. | Preventive Medicine | 1579 Olive Branch Parke Lane, #180, Greenwood, IN 46143-5754 | 2020-10-19 |
| 1194251439 | St. Vincent Medical Group, Inc. | Clinic/Center | 590 Pit Rd, #200, Brownsburg, IN 46112 | 2017-05-05 |
| 1962946459 | St. Vincent Medical Group, Inc. | Clinic/Center | 1684 Bush Ln, #100, Crawfordsville, IN 47933 | 2016-12-19 |
| 1902349483 | St. Vincent Medical Group, Inc. | Clinic/Center | 2155 E Main St, 150, Plainfield, IN 46168 | 2016-12-01 |
| 1124459573 | St. Vincent Medical Group, Inc. | Pharmacy | 7408 W State Road 28, Suite 1, Elwood, IN 46036-8600 | 2013-12-11 |
| 1144560350 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite C, Frankfort, IN 46041-3377 | 2013-02-25 |
| 1962747410 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite A, Frankfort, IN 46041-3377 | 2012-12-10 |
| 1952646564 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite B, Frankfort, IN 46041-3377 | 2012-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. VINCENT MEDICAL GROUP, INC. | 10330 N. Meridian St., Suite 300, Indianapolis, IN 46290 |
| Street Address |
14828 GREYHOUND CT STE 100 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235112244 | Michael Jay Reilly | Family Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2005-11-23 |
| 1154839439 | Hannah Rebekah Thornton | Nurse Practitioner | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2018-01-20 |
| 1881028165 | Katelyn Becht | Nurse Practitioner | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2013-08-22 |
| 1437349180 | Mohammed Ibrahim Tarrabain | Family Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2007-07-30 |
| 1932317849 | Mark R Freije | Family Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2007-05-21 |
| 1942416250 | Melissa M Derosa | Psychiatry & Neurology | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114093382 | David Stewart Katz | Preventive Medicine | 11911 N Meridian St Ste 150, Carmel, IN 46032 | 2006-11-28 |
| 1518209774 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 515 E Main St, Suite 101, Carmel, IN 46032-2258 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787425 | Deaconess Clinic Inc | Preventive Medicine | 4949 Healthy Way Ste D, Evansville, IN 47715-1180 | 2019-08-30 |
| 1871042077 | U.S. Healthworks Medical Group of Indiana, PC | Preventive Medicine | 4125 West Clara Lane, Suite 200, Muncie, IN 47304-5412 | 2016-09-28 |
| 1710300033 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 6625 Network Way, #390, Indianapolis, IN 46278-1682 | 2014-01-22 |
| 1104263227 | Saligrama A Ranganath | Preventive Medicine | 1251 Eastport Centre Dr Ste B, Valparaiso, IN 46383-2904 | 2013-05-30 |
| 1174866156 | St. Vincent Hospital and Health Care Center, Inc. | Preventive Medicine | 4800 S 975 E, Zionsville, IN 46077-8252 | 2013-03-28 |
| 1114220589 | Scott Brian Edwards | Preventive Medicine | 50680 Pheasant Cove Dr, Granger, IN 46530-7583 | 2010-12-07 |
| 1265746689 | Floyd Edward Thurston | Preventive Medicine | 3310 E Mulberry Ct, Bloomington, IN 47401-2425 | 2010-07-27 |
| 1023278207 | Dorothy J. Lenzi | Preventive Medicine | 301 N Curry Pike, Bloomington, IN 47404-2502 | 2008-06-11 |
| 1184890212 | St. Francis Hospital and Health Centers | Preventive Medicine | 315 N Dan Jones Rd, Suite 120, Plainfield, IN 46168-2817 | 2008-05-08 |
| 1790969467 | St. Vincent Madison County Health System, Inc. | Preventive Medicine | 7408 W State Road 28, Elwood, IN 46036-8600 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST. VINCENT MEDICAL GROUP, INC..
| 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.