PERRY COUNTY MEMORIAL HOSPITAL (NPI# 1922393768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922393768 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | PERRY COUNTY SURGICAL ASSOCIATES |
| Practice Address |
148 13th St Suite B Tell City IN 47586-1937 |
| Practice Telephone | 8125473447 |
| Mailing Telephone | 8125473447 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | BRIAN HERWIG (CEO) |
| Authorized Official Telephone | 8125470170 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 02002941A | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Perry County Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487217121 | Perry County Memorial Hospital | Internal Medicine | 559 Main St Ste 1, Rockport, IN 47635-1451 | 2019-04-18 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1356309777 | Perry County Memorial Hospital | Ambulance | 8885 Sr 237, Tell City, IN 47586 | 2006-05-03 |
| 1972584795 | Perry County Memorial Hospital | Anesthesiology | 315 Main St., Troy, IN 47588 | 2005-11-09 |
| 1215928536 | Perry County Memorial Hospital | Nurse Practitioner | 18485 State Rd 37, Leopold, IN 47551-8072 | 2005-11-04 |
| 1154326098 | Perry County Memorial Hospital | Home Health | 115 Us Highway 66 E, Tell City, IN 47586 | 2005-06-16 |
| 1699779017 | Perry County Memorial Hospital | General Acute Care Hospital | 8885 State Road 237, Tell City, IN 47586-8567 | 2005-06-13 |
| 1629621396 | Perry County Memorial Hospital | Nurse Practitioner | 8885 State Road 237, Tell City, IN 47586-8567 | 2019-07-22 |
| 1447206248 | Perry County Memorial Hospital | Clinic/Center | 8885 State Road 237, Tell City, IN 47586-8567 | 2006-05-25 |
| 1841258035 | Perry County Memorial Hospital | Medicare Defined Swing Bed Unit | 8885 Sr 237, Tell City, IN 47586 | 2006-05-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PERRY COUNTY MEMORIAL HOSPITAL | 434 N West St, Perryville, MO 63775-1359 |
| System for Award Management (SAM) Entities | PERRY COUNTY MEMORIAL HOSPITAL FOUNDATION INC. | 8885 State Rd 237, Tell City, IN 47586-8567 |
| Street Address |
148 13TH ST SUITE B |
| City | TELL CITY |
| State | IN |
| Zip Code | 47586-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043252166 | Jerry Kenneth Pearson | Surgery | 148 13th St, Suite B, Tell City, IN 47586-1937 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270062 | Amy Stenftenagel | Pharmacist | 730 Sr-66, Tell City, IN 47586 | 2020-06-19 |
| 1588136139 | Mark J. Flannagan Dds PC | Dentist | 741 12th St., Tell City, IN 47586 | 2018-12-20 |
| 1851837322 | Crystal Marie Miller | Occupational Therapist | 11492 Sunflower Road, Tell City, IN 47586 | 2017-01-09 |
| 1174877377 | Wesley Andrew Henderson | Nurse Anesthetist, Certified Registered | 8885 Indiana-237, Tell City, IN 47586 | 2012-11-09 |
| 1992943294 | Dixon & Dixon Auction Service LLC | Durable Medical Equipment & Medical Supplies | 2520 State Road 37, Tell City, IN 47586 | 2009-01-26 |
| 1033232889 | Donald Paul Gibson | Dentist | 901 Jefferson St, Tell City, IN 47586 | 2007-04-09 |
| 1205952710 | Dianne G Rudolph | Dentist | 740 9th, Tell City, IN 47586 | 2007-03-22 |
| 1487715652 | Gary Michael Fisher Sr. | Chiropractor | 807 12th St, Tell City, IN 47586 | 2006-12-12 |
| 1992739544 | Allen Ward Butler | Dentist | 1048-12th Street, Tell City, IN 47586 | 2006-07-10 |
| 1356309777 | Perry County Memorial Hospital | Ambulance | 8885 Sr 237, Tell City, IN 47586 | 2006-05-03 |
| Find all providers in zip 47586 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043252166 | Jerry Kenneth Pearson | Surgery | 148 13th St, Suite B, Tell City, IN 47586-1937 | 2006-06-12 |
| 1104888460 | Gilbert Albert Field | Surgery | 109 Us Highway 66 E, Tell City, IN 47586-2755 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416076 | Elkhart Clinic, LLC | Surgery | 2240 Karisa Dr Ste 1, Goshen, IN 46526-6943 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1013568724 | Amber D Petty | Surgery | 2401 W University Ave Ste 403, Muncie, IN 47303-3428 | 2019-09-24 |
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1962806851 | Shotaro Sano | Surgery | 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | 2014-10-21 |
| 1336540814 | Fredrick Allen Hillis | Surgery | 374 S Shore Dr, Culver, IN 46511-8908 | 2014-09-15 |
| Find all providers with the same taxonomy | ||||
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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.