SAINT JOHN HEALTH SYSTEM (NPI# 1134228729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134228729 |
| Entity Type | Organization |
| Organization Name | SAINT JOHN HEALTH SYSTEM |
| Other Organization Name | ANDERSON CENTER |
| Practice Address |
2210 Jackson St Anderson IN 46016-4363 |
| Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
| Practice Telephone | 7656441414 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | KEVIN MCANDREWS (VICE PRESIDENT) |
| Authorized Official Telephone | 3175833194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200408920A | 05 |
| Other Name | Type Code |
|---|---|
| Anderson Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851614192 | Saint John Health System | Durable Medical Equipment & Medical Supplies | 1907 W Sycamore St, 3rd Floor, Kokomo, IN 46901-5148 | 2010-03-01 |
| 1548478902 | Saint John Health System | Orthopaedic Surgery | 4925 S Scatterfield Rd, Anderson, IN 46013-2911 | 2007-05-18 |
| 1215087002 | Saint John Health System | Durable Medical Equipment & Medical Supplies | 8401 Harcourt Rd, #3011, Indianapolis, IN 46260-2036 | 2007-01-12 |
| 1336236025 | Saint John Health System | Durable Medical Equipment & Medical Supplies | 2020 Meridian St, Suite 180, Anderson, IN 46016-4346 | 2006-10-06 |
| 1982712238 | Saint John Health System | Internal Medicine | 2020 Meridian St, Suites 100 & 230, Anderson, IN 46016-4346 | 2006-08-28 |
| 1902912108 | Saint John Health System | Family Medicine | 602 N 5th St, Middletown, IN 47356-1008 | 2006-08-21 |
| 1457360356 | Saint John Health System | Obstetrics & Gynecology | 2020 Meridian St, Suite 220, Anderson, IN 46016-4346 | 2006-08-07 |
| 1396773461 | Saint John Health System | General Practice | 141 W 22nd St, Anderson, IN 46016-4304 | 2006-06-29 |
| Street Address |
2210 JACKSON ST |
| City | ANDERSON |
| State | IN |
| Zip Code | 46016-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992705792 | Valerie J Bruderly | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2005-07-22 |
| 1790394922 | Magdalene Oluwamayowa Bambo | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2020-07-23 |
| 1295343689 | Glenda Janice Grovenberry | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2020-07-21 |
| 1770139586 | Tammy Anne Wolverton | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2019-08-16 |
| 1356899934 | Kelly M Ricer | Social Worker | 2210 Jackson St, Anderson, IN 46016-4363 | 2016-09-13 |
| 1417311424 | Anthony Talley | Counselor | 2210 Jackson St, Anderson, IN 46016-4363 | 2016-04-06 |
| 1184087629 | Daniel B Shepler | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2016-04-01 |
| 1275938292 | Elizabeth Ploog | Social Worker | 2210 Jackson St, Anderson, IN 46016-4363 | 2014-11-03 |
| 1013340066 | Thomasina Marie Wrangham | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2013-08-14 |
| 1023457124 | Lindsay Diemer | Psychiatry & Neurology | 2210 Jackson St, Anderson, IN 46016 | 2013-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737356 | Alicia Borer | Optometrist | Macha Family Eye Care, 1537 S. Scatterfield Rd. Suite B, Anderson, IN 46016 | 2019-05-29 |
| 1740681469 | Melissa Dotson | Counselor | 2003 W 12th St, Anderson, IN 46016 | 2014-09-12 |
| 1811164239 | Vicky Lea Lawson | Technician/Technologist | 1503 Rev Jt Menifee Street, Anderson, IN 46016 | 2008-05-14 |
| 1023130812 | Robert L Loudermilk | Dentist | 226 West Historic Eighth Street, Anderson, IN 46016 | 2007-04-04 |
| 1215089297 | Chiropractic Works of Indiana Inc. | Chiropractor | 1541 S Scatterfield Rd, Suite A, Anderson, IN 46016 | 2007-01-18 |
| 1790851509 | Robert W Anderson | Internal Medicine | 2101 Jackson Street, Suite 111, Anderson, IN 46016 | 2006-11-27 |
| 1770668030 | Madison County Community Health Centers Inc | Family Medicine | 1547 Ohio Avenue, Anderson, IN 46016 | 2006-10-26 |
| 1437178035 | Teri L Schulz | Pediatrics | 2020 Meridian St Ste 320, Anderson, IN 46016 | 2006-07-18 |
| 1750331195 | Steven C. Kim | Urology | 141 W. 22nd St., Suite 203, Anderson, IN 46016 | 2006-05-10 |
| 1215905773 | Hazim Rimawi | Internal Medicine | 2020 Meridian St Ste 110, Anderson, IN 46016 | 2006-03-10 |
| Find all providers in zip 46016 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871559385 | Steven Schneider | Psychiatry & Neurology | 2725 Enterprise Dr, Anderson, IN 46013-9670 | 2006-04-24 |
| 1871555896 | Ernest C. Martin, M.d., P.a. | Psychiatry & Neurology | 309 W Beltline Blvd, North Hill Professional Park, Anderson, SC 29625-1505 | 2006-04-05 |
| 1194792804 | John H Purcell | Psychiatry & Neurology | 130 Hwy 252, Anderson, SC 29622 | 2006-03-01 |
| 1295739688 | Susan M Anderson | Psychiatry & Neurology | 1210 Medical Arts Blvd, Ste 102, Anderson, IN 46011-3437 | 2005-06-13 |
| 1669912937 | Palmetto Psychiatry Associates, LLC | Psychiatry & Neurology | 2315 N Main St, Suite 221b, Anderson, SC 29621-3880 | 2017-03-06 |
| 1023457124 | Lindsay Diemer | Psychiatry & Neurology | 2210 Jackson St, Anderson, IN 46016 | 2013-06-21 |
| 1053759332 | Urvi Shah | Psychiatry & Neurology | 130 Highway 252, Anderson, SC 29621-5054 | 2013-06-10 |
| 1184999096 | Anmed Health | Psychiatry & Neurology | 400 N Fant St, Suite D, Anderson, SC 29621-5720 | 2012-03-12 |
| 1326272279 | Amara Sania Chudhary | Psychiatry & Neurology | 400 N Fant St, Suite D, Anderson, SC 29621-5720 | 2009-05-06 |
| 1710121009 | Taral R Sharma | Psychiatry & Neurology | 130 Highway 252, Anderson, SC 29621-5054 | 2009-04-30 |
| Find all providers in ANDERSON | ||||
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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.