ST. MARY'S HEALTH, INC (NPI# 1851842496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851842496 |
Entity Type | Organization |
Organization Name | ST. MARY'S HEALTH, INC |
Other Organization Name | ASCENSION ST. VINCENT EVANSVILLE |
Practice Address |
14020 Old State Rd Suite A300 Evansville IN 47725-1164 |
Practice Telephone | 8124694730 |
Practice Fax Number | 8124694783 |
Mailing Telephone | 8124694730 |
Mailing Fax Number | 8124694783 |
Enumeration Date | 2016-10-19 |
Last Update Date | 2020-08-06 |
Authorized Official Name | DANIEL PAROD (PRESIDENT) |
Authorized Official Telephone | 8124851502 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
Other Name | Type Code |
---|---|
Ascension St. Vincent Evansville | Doing Business As Name - Organization |
St. Vincent Evansville Imaging-Northside Crossing | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033135660 | St. Mary's Health, Inc | Dentist | 3700 Bellemeade Avenue, Evansville, IN 47714 | 2006-07-15 |
1023556305 | St. Mary's Health, Inc | Clinic/Center | 14020 Old State Rd, Suite D100, Evansville, IN 47725-1164 | 2017-02-07 |
1154867265 | St. Mary's Health, Inc | Durable Medical Equipment & Medical Supplies | 3700 Washington Ave, Evansville, IN 47714-0541 | 2017-01-12 |
1568913101 | St. Mary's Health, Inc | Clinic/Center | 14020 Old State Rd, Suite A100, Evansville, IN 47725-1164 | 2016-10-19 |
1558819599 | St. Mary's Health, Inc | Physiological Laboratory | 100 S Rosenberger Ave, Suite A310, Evansville, IN 47712-6591 | 2016-09-20 |
1497706287 | St. Mary's Health, Inc | Family Medicine | 3700 Washington Ave, Evansville, IN 47750-0001 | 2006-05-15 |
Street Address |
14020 OLD STATE RD SUITE A300 |
City | EVANSVILLE |
State | IN |
Zip Code | 47725-1164 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144434473 | St Mary's Medical Center of Evansville, Inc | Clinic/Center | 14020 Old State Rd, Evansville, IN 47725-1121 | 2007-05-09 |
1699238519 | Kylen Matthew Gray | Physical Therapist | 14020 Old State Rd, Evansville, IN 47725-1121 | 2019-04-08 |
1669936068 | Laura Finch | Physical Medicine & Rehabilitation | 14020 Old State Rd, Evansville, IN 47725-1121 | 2019-01-30 |
1023556305 | St. Mary's Health, Inc | Clinic/Center | 14020 Old State Rd, Suite D100, Evansville, IN 47725-1164 | 2017-02-07 |
1073055034 | Emily Linge | Physical Therapist | 14020 Old State Rd, Ste D100, Evansville, IN 47725-1164 | 2016-11-08 |
1578015632 | St. Mary's Health, Inc. | Durable Medical Equipment & Medical Supplies | 14020 Old State Rd, Suite B200, Evansville, IN 47725-1164 | 2016-10-25 |
1568913101 | St. Mary's Health, Inc | Clinic/Center | 14020 Old State Rd, Suite A100, Evansville, IN 47725-1164 | 2016-10-19 |
1316497811 | St. Mary's Medical Center of Evansville | Pharmacy | 14020 Old State Rd, Evansville, IN 47725 | 2016-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
1235502774 | Hook-superx, L.L.C. | Registered Nurse | 600 E Boonville New Harmony Rd, Evansville, IN 47725 | 2015-11-05 |
1346556388 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 511 E. Boonville - New Harmony Rd, Evansville, IN 47725 | 2010-08-27 |
1720112071 | Roger Lee Tindle | Pharmacist | 12500 N Hwy 41, Evansville, IN 47725 | 2007-03-16 |
1750413670 | Elizabeth Marilyn Hobbs | Physical Therapy Assistant | 8700a N. Kentucky Ave, Evansville North -phr, Evansville, IN 47725 | 2007-03-09 |
1134215841 | Cindy K Mcwilliams | Speech-Language Pathologist | 15601 Darmstadt Road, Evansville, IN 47725 | 2006-10-04 |
1891735171 | Brian Becker | Anesthesiology | 13000 Woodland Ln, Evansville, IN 47725 | 2006-06-07 |
1003311309 | Megan E Tate | Nurse Practitioner | 8600 N Kentucky Ave, Evansville, IN 47725 | 2018-03-28 |
1730560376 | Megan J York | Pediatrics | 14020 Old State Rd # 300, Evansville, IN 47725 | 2015-06-09 |
1760864987 | Jared D Mitchell | Family Medicine | 14020 Old State Rd Ste 100, Evansville, IN 47725-1121 | 2015-06-24 |
Find all providers in zip 47725 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558819599 | St. Mary's Health, Inc | Physiological Laboratory | 100 S Rosenberger Ave, Suite A310, Evansville, IN 47712-6591 | 2016-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730717331 | St Marys Health Inc | Physiological Laboratory | 100 St Marys Epworth Xing # C100, Newburgh, IN 47630-9497 | 2020-03-30 |
1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
1356891568 | Lifetime Imaging LLC | Physiological Laboratory | 5144 E Stop 11 Road, Suite 18, Indianapolis, IN 46237-8606 | 2016-10-12 |
1588032023 | Community Imaging Associates, LLC | Physiological Laboratory | 13121 Olio Rd Ste 120, Fishers, IN 46037-7240 | 2015-09-14 |
1235507773 | Community Imaging Associates, LLC | Physiological Laboratory | 10122 E 10th St Ste 101, Indianapolis, IN 46229-3046 | 2015-09-14 |
1225406770 | Community Imaging Associates, LLC | Physiological Laboratory | 11911 N Meridian St Ste 175, Carmel, IN 46032-6944 | 2015-09-14 |
1376700088 | Medical Diagnostic Services Inc | Physiological Laboratory | Medical Diagnostic Services Inc, 8007 S Meridian St, Indianapolis, IN 46217-2901 | 2008-05-20 |
1962421172 | Indiana Ultrasound Diagnostics | Physiological Laboratory | 205 E Carmel Dr, Carmel, IN 46032-2606 | 2006-07-19 |
1619916954 | Imaging Center of North Central Indiana, Inc. | Physiological Laboratory | 2201 West Blvd., Kokomo, IN 46902 | 2006-06-05 |
1548239973 | Insight Health Corp. | Physiological Laboratory | 590 Missouri Ave, Ste 200, Clarksville, IN 47129-0000 | 2006-03-16 |
Find all providers with the same taxonomy |
City | EVANSVILLE |
Zip Code | 47725 |
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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.