ST VINCENT PEDIATRIC SUBSPECIALTIES (NPI# 1013967736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013967736 |
| Entity Type | Organization |
| Organization Name | ST VINCENT PEDIATRIC SUBSPECIALTIES |
| Practice Address |
2001 W 86th St Indianapolis IN 46260-1902 |
| Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
| Practice Telephone | 3173382273 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-11-17 |
| Authorized Official Name | KEVIN MCANDREWS (VICE PRESIDENT) |
| Authorized Official Telephone | 3175833194 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians | ||
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
Allopathic & Osteopathic Physicians | ||
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 208000000X | Pediatrics | 050050751 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200505130R | 05 | |
| IN | 200505130V | 05 | |
| OH | 2645178 | 05 | |
| IN | 200505130O | 05 | |
| IN | 200505130P | 05 | |
| IN | 200505130T | 05 | |
| IN | 200505130W | 05 | |
| IN | 200505130Y | 05 | |
| IN | 200901000C | 05 | |
| IN | 200505130A | 05 | |
| IN | 200901000A | 05 | |
| IN | 200505130G | 05 | |
| IN | 200505130N | 05 | |
| IN | 200505130S | 05 | |
| IN | 200505130Z | 05 | |
| OH | 2602026 | 05 | |
| IN | 200505130C | 05 | |
| IN | 200505130D | 05 | |
| IN | 200505130J | 05 | |
| IN | 200505130U | 05 | |
| IN | 200901000B | 05 | |
| IN | 200505130F | 05 | |
| IN | 200505130L | 05 | |
| IN | 200505130Q | 05 | |
| IN | 200505130M | 05 | |
| IN | 200505130X | 05 | |
| IN | 200505130I | 05 | |
| IN | 200505130B | 05 | |
| IN | 200505130E | 05 | |
| IN | 200505130H | 05 | |
| IN | 200505130K | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851950224 | St Vincent Pediatric Subspecialties | Pediatrics | 3700 Washington Ave, Evansville, IN 47714-0541 | 2019-06-10 |
| Street Address |
2001 W 86TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021829 | Bassem I Razzouk | Pediatrics | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2005-05-27 |
| 1881209294 | Jennifer L Maupin | Nurse Practitioner | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-09-11 |
| 1851904973 | Taylor Anne Vandervort | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-28 |
| 1437762796 | Casey Michelle O'neal | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-08-26 |
| 1396360590 | Kathleen Sue Lilegdon | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-06-12 |
| 1033732979 | Rachel Leigh Thelen | Physician Assistant | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-27 |
| 1942823976 | Shelby Nichole Preston | Dietitian, Registered | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-26 |
| 1396367165 | Gabrielle Ann Vickery | Registered Nurse | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-05-14 |
| 1154950798 | Kaylee Elizabeth Poole | Pharmacist | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-06 |
| 1326677014 | Julie Mary Bittar | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447780069 | Ann Freshour | Pediatrics | 575 Riley Hospital Dr Ste Xe-040, Indianapolis, IN 46202-5272 | 2017-06-15 |
| 1700339983 | Buria Naeem | Pediatrics | 705 Riley Hospital Dr Rm 4900, Indianapolis, IN 46202-5109 | 2016-07-25 |
| 1013362839 | Christine Nix | Pediatrics | 750 Riley Hospital Drive, Room 5867, Indianapolis, IN 46202-5209 | 2016-04-29 |
| 1477915791 | Sarah Patton Supples | Pediatrics | 705 Riley Hospital Dr Roc4340, Indianapolis, IN 46202 | 2016-03-25 |
| 1801283205 | Korre Leigh Fairman | Pediatrics | 1030 W Michigan St Ste C4600, Indianapolis, IN 46202 | 2015-04-23 |
| 1912393240 | Dana Nezon | Pediatrics | Windrose Health Network - Epler Park, 5550 S. East St., Indianapolis, IN 46227 | 2015-04-14 |
| 1922412162 | Jodie Meara | Pediatrics | Riley Children's Hospital Ri 3006 Phase IIi, 705 Riley Hospital Drive, Indianapolis, IN 46202 | 2014-06-16 |
| 1265877690 | Kristen Mary Schroeder | Pediatrics | 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202-2872 | 2013-04-29 |
| 1396189056 | Jessica Lucille Horan | Pediatrics | 699 Riley Hospital Dr, Room Rr 208, Indianapolis, IN 46202-5119 | 2013-04-24 |
| 1841581311 | Meaghan Elisabeth Keller | Pediatrics | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2011-05-02 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on ST VINCENT PEDIATRIC SUBSPECIALTIES.
| 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.