ST. VINCENT MEDICAL GROUP, INC. (NPI# 1194251439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194251439 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT MEDICAL GROUP, INC. |
| Other Organization Name | ASCENSION MEDICAL GROUP ST. VINCENT |
| Practice Address |
590 Pit Rd #200 Brownsburg IN 46112 |
| Mailing Address |
10330 N Meridian St #300 Indianapolis IN 46290-1024 |
| Practice Telephone | 3174561156 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | BRIAN MORRIS (CFO) |
| Authorized Official Telephone | 3173386234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Ascension Medical Group St. Vincent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317964 | St. Vincent Medical Group, Inc. | Health Educator | 401 E Michigan St, Indianapolis, IN 46204-1643 | 2020-02-06 |
| 1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
| 1578162988 | St. Vincent Medical Group, Inc. | Preventive Medicine | 1579 Olive Branch Parke Lane, #180, Greenwood, IN 46143-5754 | 2020-10-19 |
| 1750998795 | St. Vincent Medical Group, Inc. | Preventive Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2020-09-24 |
| 1962946459 | St. Vincent Medical Group, Inc. | Clinic/Center | 1684 Bush Ln, #100, Crawfordsville, IN 47933 | 2016-12-19 |
| 1902349483 | St. Vincent Medical Group, Inc. | Clinic/Center | 2155 E Main St, 150, Plainfield, IN 46168 | 2016-12-01 |
| 1124459573 | St. Vincent Medical Group, Inc. | Pharmacy | 7408 W State Road 28, Suite 1, Elwood, IN 46036-8600 | 2013-12-11 |
| 1144560350 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite C, Frankfort, IN 46041-3377 | 2013-02-25 |
| 1962747410 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite A, Frankfort, IN 46041-3377 | 2012-12-10 |
| 1952646564 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite B, Frankfort, IN 46041-3377 | 2012-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. VINCENT MEDICAL GROUP, INC. | 10330 N. Meridian St., Suite 300, Indianapolis, IN 46290 |
| Street Address |
590 PIT RD #200 |
| City | BROWNSBURG |
| State | IN |
| Zip Code | 46112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761320 | Richard A Miller | Family Medicine | 590 Pit Rd, Brownsburg, IN 46112-7830 | 2005-09-27 |
| 1922525179 | Rebecca Freeman | Physical Therapist | 590 Pit Rd, Brownsburg, IN 46112-7830 | 2017-08-28 |
| 1629513148 | Catherine Magnabosco | Nurse Practitioner | 590 Pit Rd, Brownsburg, IN 46112-7830 | 2016-12-20 |
| 1235599226 | Anna Beata Wozniak | Anesthesiology | 590 Pit Rd, Brownsburg, IN 46112-7830 | 2016-03-03 |
| 1386002053 | Melissa Marie Arthur | Nurse Practitioner | 590 Pit Rd, Brownsburg, IN 46112-7830 | 2016-02-09 |
| 1063897205 | Courtney K Summitt | Physical Therapist | 590 Pit Rd, Brownsburg, IN 46112-7830 | 2015-07-29 |
| 1659706893 | Ada Coryn Love-davis | Obstetrics & Gynecology | 590 Pit Rd, Brownsburg, IN 46112-7830 | 2013-09-06 |
| 1407880750 | Sheila Denise Stewart | Pediatrics | 590 Pit Rd, Brownsburg, IN 46112 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466448 | Adrianne Wagoner | Dietitian, Registered | 6535 Branches Dr, Brownsburg, IN 46112 | 2020-01-15 |
| 1649710336 | Sarah Schmitt | Nurse Practitioner | 21 West Main Street, Brownsburg, IN 46112 | 2017-03-01 |
| 1245777507 | Kaden Sloan | Specialist/Technologist | 7964 Acre Ln, Brownsburg, IN 46112 | 2017-01-25 |
| 1700244779 | Hendricks Community Hospital | Clinic/Center | 321 N. Northfield Drive, Suite 100, Brownsburg, IN 46112 | 2016-02-05 |
| 1821462490 | Harmony Home Care LLC | In Home Supportive Care | 2807 Avebury Way, Brownsburg, IN 46112 | 2015-11-19 |
| 1538546742 | Sorgi Sports LLC | Durable Medical Equipment & Medical Supplies | 1531 E. Northfield Dr. Suite 300, Brownsburg, IN 46112 | 2015-04-27 |
| 1083013692 | Tana Gehring | Physical Therapist | 7249 Arbuckle Cmns Ste A, Brownsburg, IN 46112 | 2014-08-19 |
| 1871919597 | Tammy Sarmiento | Clinic/Center | 21 W. Main Street, Brownsburg, IN 46112 | 2014-03-06 |
| 1194160267 | Andrea Chadwick Shelton | Dentist | 1141 S. Green Street, Brownsburg, IN 46112 | 2013-05-02 |
| 1588949457 | Kathleen A Shoemaker | Pharmacist | 20 W. Main Street, Brownsburg, IN 46112 | 2011-10-11 |
| Find all providers in zip 46112 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730717331 | St Marys Health Inc | Physiological Laboratory | 100 St Marys Epworth Xing # C100, Newburgh, IN 47630-9497 | 2020-03-30 |
| 1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
| 1356891568 | Lifetime Imaging LLC | Physiological Laboratory | 5144 E Stop 11 Road, Suite 18, Indianapolis, IN 46237-8606 | 2016-10-12 |
| 1588032023 | Community Imaging Associates, LLC | Physiological Laboratory | 13121 Olio Rd Ste 120, Fishers, IN 46037-7240 | 2015-09-14 |
| 1235507773 | Community Imaging Associates, LLC | Physiological Laboratory | 10122 E 10th St Ste 101, Indianapolis, IN 46229-3046 | 2015-09-14 |
| 1225406770 | Community Imaging Associates, LLC | Physiological Laboratory | 11911 N Meridian St Ste 175, Carmel, IN 46032-6944 | 2015-09-14 |
| 1376700088 | Medical Diagnostic Services Inc | Physiological Laboratory | Medical Diagnostic Services Inc, 8007 S Meridian St, Indianapolis, IN 46217-2901 | 2008-05-20 |
| 1962421172 | Indiana Ultrasound Diagnostics | Physiological Laboratory | 205 E Carmel Dr, Carmel, IN 46032-2606 | 2006-07-19 |
| 1619916954 | Imaging Center of North Central Indiana, Inc. | Physiological Laboratory | 2201 West Blvd., Kokomo, IN 46902 | 2006-06-05 |
| 1548239973 | Insight Health Corp. | Physiological Laboratory | 590 Missouri Ave, Ste 200, Clarksville, IN 47129-0000 | 2006-03-16 |
| Find all providers with the same taxonomy | ||||
| City | BROWNSBURG |
| Zip Code | 46112 |
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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.