LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC (NPI# 1053920314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053920314 |
| Entity Type | Organization |
| Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC |
| Other Organization Name | MEMORIAL SURGICAL ASSOCIATES |
| Practice Address |
1025 1st Ave W Ste B Jasper IN 47546-3217 |
| Mailing Address |
Po Box 1028 Jasper IN 47547-1028 |
| Practice Telephone | 8129966580 |
| Practice Fax Number | 8129966581 |
| Mailing Telephone | 8129968478 |
| Mailing Fax Number | 8129968497 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | EDWARD KYLE BENNETT (PRESIDENT & CEO) |
| Authorized Official Telephone | 8129960507 |
| Is Organization Subpart | Y |
| Parent Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Memorial Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
| 1306323597 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 966 Bartley Street, Jasper, IN 47546-2641 | 2018-07-20 |
| 1962857813 | Little Company of Mary Hospital of Indiana Inc | Nurse Practitioner | 3644 E County Road 1600 N, Lincoln City, IN 47552-9662 | 2016-04-28 |
| 1730420829 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 5066 N 900 E, Montgomery, IN 47558-5790 | 2013-03-14 |
| 1821353814 | Little Company of Mary Hospital of Indiana Inc | Urology | 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 | 2012-07-06 |
| 1972877280 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 6402 E Industrial Lane, Leavenworth, IN 47137-8316 | 2012-03-05 |
| 1881843522 | Little Company of Mary Hospital of Indiana Inc | Clinic/Center | 522 South Maple Street, French Lick, IN 47432 | 2008-09-18 |
| 1588778518 | Little Company of Mary Hospital of Indiana Inc | General Acute Care Hospital | 800 W 9th Street, Jasper, IN 47546-2514 | 2006-08-18 |
| 1316440530 | Little Company of Mary Hospital of Indiana Inc | Otolaryngology | 721 W 13th St Ste 325, Jasper, IN 47546-1857 | 2018-03-14 |
| Street Address |
1025 1ST AVE W STE B |
| City | JASPER |
| State | IN |
| Zip Code | 47546-3217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| 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 |
|---|---|---|---|---|
| 1710228986 | Kyle Andrew Packer | Surgery | 3400 Highway 78 E Ste 316, Jasper, AL 35501-8951 | 2013-03-12 |
| 1083671994 | Carol Lynn Adams | Surgery | 300 N Airport Rd Ste 2, Jasper, AL 35504-2516 | 2006-04-26 |
| 1467414359 | Roy Chu | Surgery | 80 Interstate South Dr, Ste B, Jasper, GA 30143-6226 | 2006-04-05 |
| 1700856432 | Le Roy W Hodges | Surgery | 80 Interstate South Dr Ste B, Jasper, GA 30143 | 2006-01-25 |
| 1952685083 | K.c. Surgical Associates, PC | Surgery | 3400 Highway 78 E, Medical Arts Tower #504, Jasper, AL 35501-8907 | 2011-10-07 |
| 1821389081 | John Isaac Baker | Surgery | 3400 Highway 78 E, Medical Arts Tower, Suite 502, Jasper, AL 35501-8956 | 2011-04-22 |
| 1093959082 | Jasper General Surgery | Surgery | 3400 Highway 78 E, Medical Arts Tower; Suite 504, Jasper, AL 35501-8907 | 2009-04-22 |
| 1013154632 | Bradley Dwayne Hare | Surgery | 80 Interstate South Dr Ste B, Jasper, GA 30143 | 2009-01-20 |
| 1841441458 | Carliss Christopher Graham | Surgery | 80 Interstate South Dr, Suite B, Jasper, GA 30143-6226 | 2008-10-02 |
| 1245423839 | Edward L Mosley Jr | Surgery | 980 Highway 28, Suite 203, Jasper, TN 37347-3695 | 2007-08-27 |
| Find all providers in JASPER | ||||
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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.