ST MARY MEDICAL CENTER INC (NPI# 1245382498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245382498 |
| Entity Type | Organization |
| Organization Name | ST MARY MEDICAL CENTER INC |
| Other Organization Name | ST MARY CARE NETWORK PORTER COUNTY PRIMARY CARE |
| Practice Address |
2000 Roosevelt Rd Ste 5 Valparaiso IN 46383-2800 |
| Practice Telephone | 2194642123 |
| Practice Fax Number | 2194650032 |
| Mailing Telephone | 2194642123 |
| Mailing Fax Number | 2194650032 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-03-30 |
| Authorized Official Name | JANICE L RYBA (CEO) |
| Authorized Official Telephone | 2199420551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200219530A | 05 |
| Other Name | Type Code |
|---|---|
| St Mary Care Network Porter County Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609188598 | St Mary Medical Center Inc | Nurse Practitioner | 850 Marsh Street, Suite C, Valparaiso, IN 46385-6239 | 2010-07-08 |
| 1922319318 | St Mary Medical Center Inc | Obstetrics & Gynecology | 1551 S Sturdy Road, Valparaiso, IN 46383-7883 | 2010-06-30 |
| 1851306690 | St Mary Medical Center Inc | Internal Medicine | 209 E 86th Ct, Merrillville, IN 46410-6529 | 2006-07-30 |
| 1902198831 | St Mary Medical Center Inc | General Practice | 2000 Roosevelt Rd, Ste 5, Valparaiso, IN 46383-2800 | 2011-05-11 |
| 1932417854 | St Mary Medical Center Inc | Urology | 10607 Randolph St, C, Crown Point, IN 46307-7505 | 2010-09-14 |
| 1336457225 | St Mary Medical Center Inc | Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-09-14 |
| 1083925333 | St Mary Medical Center Inc | Obstetrics & Gynecology | 3545 Arbors Street, Portage, IN 46368-4297 | 2010-07-01 |
| 1639498975 | St Mary Medical Center Inc | Urology | 3545 Arbors Street, Portage, IN 46368-4298 | 2010-05-26 |
| 1932427523 | St Mary Medical Center Inc | Obstetrics & Gynecology | 1400 S Lake Park Ave, Ste 205, Hobart, IN 46342-6790 | 2010-05-07 |
| 1598083347 | St Mary Medical Center Inc | Urology | 1400 S Lake Park Ave, Ste 407, Hobart, IN 46342-6790 | 2010-05-04 |
| Street Address |
2000 ROOSEVELT RD STE 5 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618078 | Maria O. Sacris | Obstetrics & Gynecology | 2000 Roosevelt Rd, Ste 207, Valparaiso, IN 46383-2802 | 2005-06-08 |
| 1902198831 | St Mary Medical Center Inc | General Practice | 2000 Roosevelt Rd, Ste 5, Valparaiso, IN 46383-2800 | 2011-05-11 |
| 1750682233 | John D Roscoe Md PC | Family Medicine | 2000 Roosevelt Rd, Suite 203, Valparaiso, IN 46383-2800 | 2010-11-15 |
| 1407090335 | La Porte Regional Physician Network, Inc | Neurological Surgery | 2000 Roosevelt Rd, Suite 202, Valparaiso, IN 46383-2800 | 2009-04-22 |
| 1497911697 | Jane Bradlaw | Emergency Medicine | 2000 Roosevelt Rd, Department of Emergency Medicine, Valparaiso, IN 46383-2800 | 2008-08-06 |
| 1780879114 | Chung Kiel Kim | Orthopaedic Surgery | 2000 Roosevelt Rd, Suite 104, Valparaiso, IN 46383-2800 | 2007-09-10 |
| 1952514895 | Sacris Medical Corporation PC | Obstetrics & Gynecology | 2000 Roosevelt Rd, Suite 207, Valparaiso, IN 46383-2800 | 2007-05-07 |
| 1447310503 | John Dominic Roscoe Jr. | Family Medicine | 2000 Roosevelt Rd, Suite 203, Valparaiso, IN 46383-2800 | 2006-12-11 |
| 1811075948 | Associates In Neurology, P.C. | Psychiatry & Neurology | 2000 Roosevelt Rd, Ste 201, Valparaiso, IN 46383-2802 | 2006-11-02 |
| 1225130867 | Michael A Woods | Emergency Medicine | 2000 Roosevelt Rd, Valparaiso, IN 46383-2800 | 2006-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710435094 | Mid-america Mental Health LLC | Family Medicine | 402 Wall St., Ste 23, Valparaiso, IN 46383-2567 | 2016-09-15 |
| 1265826887 | Gerald Ronneau | Family Medicine | 92 E 700 N, Valparaiso, IN 46383-8908 | 2015-03-20 |
| 1427477413 | Christopher Michael Osan | Family Medicine | 3800 Saint Mary Rd Ste 205, Valparaiso, IN 46383-3986 | 2014-04-07 |
| 1578790481 | Bernadette A Obmaces | Family Medicine | 3800 St Mary Dr, Suite 204, Valparaiso, IN 46383-7502 | 2009-06-18 |
| 1770748717 | Derek Scott Gasper | Family Medicine | 1101 Glendale Blvd Ste 102a, Valparaiso, IN 46383-3767 | 2008-07-18 |
| 1982806923 | Jeffery Smith | Family Medicine | 2307 La Porte Ave, Suite 4, Valparaiso, IN 46383-7028 | 2007-06-01 |
| 1093937963 | Emerald Coast Family Medicine Inc | Family Medicine | 143 S John Sims Pkwy, Valparaiso, FL 32580-1271 | 2007-05-02 |
| 1770518664 | Sudhakar Garlapati | Family Medicine | 401 Wall St, Valparaiso, IN 46383-2521 | 2006-07-11 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1174562656 | Joel Mark Schumacher | Family Medicine | 1105 Cumberland Xing, Valparaiso, IN 46383-2356 | 2006-06-06 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.