Keith Edward Ennis (NPI# 1033292628, PAC ID# 6608971809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033292628 |
| PAC ID by PECOS | 6608971809 |
| Professional Enrollment ID | I20070417000470 |
| Full Name | Keith Edward Ennis |
| Organization Legal Name | ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER |
| Address |
1931 Brown St Anderson IN 46016-4206 |
| Phone Number | 7656441225 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 9638072184 |
| Number of Group Practice Members | 196 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150010 | ST. JOSEPH HOSPITAL & HEALTH CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1931 Brown St, Anderson, IN 46016-4206 | 7656441225 | ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER |
| Organization Legal Name | ST VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER |
| Physicians | 158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri Lynn Donovan | Physical Therapy | St Vincent Physician Services Hospital and Health Care Center | 8227 Northwest Blvd, Indianapolis, IN 46278-1387 |
| Olivia Ann Fondoble | Internal Medicine | St Vincent Physician Services Hospital and Health Care Center | 13430 N Meridian St, Suite 280, Carmel, IN 46032-1484 |
| Amy C Lahood | Family Medicine | St Vincent Physician Services Hospital and Health Care Center | 8414 Naab Rd, Indianapolis, IN 46260-1972 |
| Eric Joseph Tuchscherer | Family Medicine | St Vincent Physician Services Hospital and Health Care Center | 8240 Naab Rd, Indianapolis, IN 46260-1985 |
| Patrick Andrew Kersey | Sports Medicine | St Vincent Physician Services Hospital and Health Care Center | 14455 Clay Terrace Blvd, Carmel, IN 46032-3605 |
| Michelle Lee Bailey | Internal Medicine | St Vincent Physician Services Hospital and Health Care Center | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| John J Anagnostou Jr. | Internal Medicine | St Vincent Physician Services Hospital and Health Care Center | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Jan Edward Peterson Ii | Internal Medicine | St Vincent Physician Services Hospital and Health Care Center | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Bryan Richard Harris | Physician Assistant | St Vincent Physician Services Hospital and Health Care Center | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Marie Cecilia Lewis | Internal Medicine | St Vincent Physician Services Hospital and Health Care Center | 2001 W 86th St, Indianapolis, IN 46260-1902 |
| Street Address |
1931 BROWN ST |
| City | ANDERSON |
| State | IN |
| Zip | 46016-4206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Lynn Dix Jackey | Certified Nurse Midwife (cnm) | St Vincent Medical Group Inc | 1931 Brown St, Anderson, IN 46016-4206 |
| Joseph Frank Woschitz | Ophthalmology | St Vincent Medical Group Inc | 1931 Brown St, Anderson, IN 46016-4206 |
| Elizabeth Lacy Groves-egan | Ophthalmology | St Vincent Medical Group Inc | 1931 Brown St, Anderson, IN 46016-4206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy L Shannon | Nurse Practitioner | 720 W 8th St, Anderson, IN 46016-1206 | |
| Roxanne D Brunsman | Clinical Social Worker | 405 W 8th St, Suite 2, Anderson, IN 46016-1311 | |
| Jean Manis | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Rachel J Ramsey | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Thomas E Murray | Clinical Psychologist | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Phyllis Marilyn Olson | Clinical Psychologist | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Donald L Allbaugh | Clinical Social Worker | Anderson Psychiatric Clinic LLC | 431 W 9th St, Anderson, IN 46016-1317 |
| Arlus J Whitfield | Chiropractic | Family Chiropractic Group, Inc., P.C. | 311 Jackson St, Anderson, IN 46016-1558 |
| David B Tarr | Psychologist, Clinical | Jane Pauley Community Health Center Inc | 1229 Lincoln St, Anderson, IN 46016-1693 |
| Kary Morford | Nurse Practitioner | Jane Pauley Community Health Center Inc | 1229 Lincoln St, Anderson, IN 46016-1693 |
| Find all physicians in zip 46016 | |||
| City | ANDERSON |
| Zip Code | 46016 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ANDERSON + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.