ST MARY MEDICAL CENTER INC (NPI# 1336457225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336457225 |
| Entity Type | Organization |
| Organization Name | ST MARY MEDICAL CENTER INC |
| Other Organization Name | JONATHAN G PATTERSON DO |
| Practice Address |
1600 S Lake Park Ave 1102 Hobart IN 46342-6641 |
| Mailing Address |
10607 Randolph St Ste A Crown Point IN 46307-7505 |
| Practice Telephone | 2196634007 |
| Practice Fax Number | 2196634198 |
| Mailing Telephone | 2196634007 |
| Mailing Fax Number | 2196634198 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | JANICE RYBA (CEO) |
| Authorized Official Telephone | 2199470551 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| JONATHAN G PATTERSON DO | Other Name - Individual/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 |
| 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 |
| 1992022958 | St Mary Medical Center Inc | Urology | 1400 S Lake Park Ave, Ste 105, Hobart, IN 46342-6790 | 2010-04-29 |
| Street Address |
1600 S LAKE PARK AVE 1102 |
| City | HOBART |
| State | IN |
| Zip Code | 46342-6641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356306799 | Mohamed F Zeitoun | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-04-19 |
| 1649570219 | Jennifer Louise Green | Nurse Practitioner | 1600 S Lake Park Ave, Ste 1103, Hobart, IN 46342-6641 | 2010-10-28 |
| 1598070617 | Munster Medical Research Foundation Inc | Neurological Surgery | 1600 S Lake Park Ave, 1102, Hobart, IN 46342-6641 | 2010-08-12 |
| 1811177785 | Spinal & Neurosurgical Institute P.C. | Neurological Surgery | 1600 S Lake Park Ave, Ste 1102, Hobart, IN 46342-6641 | 2007-11-08 |
| 1598818270 | Mark A Simaga | Neurological Surgery | 1600 S Lake Park Ave, Suite 1102, Hobart, IN 46342-6641 | 2007-01-18 |
| 1619986379 | Advanced Endocrinology and Diabetes Center | Internal Medicine | 1600 S Lake Park Ave, Suite 1104, Hobart, IN 46342-6641 | 2006-08-05 |
| 1972545804 | Barbara L Fuller | Internal Medicine | 1600 S Lake Park Ave, Suite1101, Hobart, IN 46342-6641 | 2006-06-12 |
| 1386686145 | Monroe Medical Associates, Sc | Internal Medicine | 1600 S Lake Park Ave, Suite 1101, Hobart, IN 46342-6641 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952734295 | Carleen Kaucky | Nurse Practitioner | 1445 South Lake Park Ave, Hobart, IN 46342 | 2013-08-09 |
| 1679827133 | Fresenius Medical Care Nw Indiana, LLC | Clinic/Center | 1330 W. Wisconsin St., Hobart, IN 46342 | 2012-11-06 |
| 1356600548 | Accurate Home Health Inc | Home Health | 8792 E. Ridge Road, Suite A, Hobart, IN 46342 | 2012-05-09 |
| 1164728051 | Lynn Rentz | Mechanotherapist | 103 E.third St., Suite 1, Hobart, IN 46342 | 2011-02-10 |
| 1720214208 | Felipe Isip Chua Jr. | Physician Assistant | 101 West 61st Avenue, Hobart, IN 46342 | 2009-06-10 |
| 1326289067 | Sheila Anne Flynn | Registered Nurse | 101 W. 61st Ave., Hobart, IN 46342 | 2009-03-10 |
| 1194941021 | Arc Bridges, Inc | Custodial Care Facility | 3583 Randolph Drive, Hobart, IN 46342 | 2007-04-18 |
| 1164542940 | Felix Rosel Gozo Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1354 S Lake Park Avenue, St Marys Spectrum Rehab Center Cardiac, Hobart, IN 46342 | 2007-03-29 |
| 1003932666 | Major Hospital | Skilled Nursing Facility | 4410 W 49th Ave, Hobart, IN 46342 | 2007-03-22 |
| 1295884682 | Marie Jean Mercado Hedges | Physical Therapist | 4530 16th St., Hobart, IN 46342 | 2007-01-09 |
| Find all providers in zip 46342 | ||||
| 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 |
|---|---|---|---|---|
| 1801962253 | Jocelyn Marie Logan | Surgery | 7895 Grand Blvd, Hobart, IN 46342-6665 | 2006-11-28 |
| 1780689984 | Paul J Stanish | Surgery | 1400 S Lake Park Ave, Ste 200, Hobart, IN 46342-6791 | 2005-06-15 |
| 1588927818 | Katherine Foley | Surgery | 1400 S Lake Park Ave Ste 200, Hobart, IN 46342-6790 | 2012-06-21 |
| 1588834881 | Jonathan G. Patterson | Surgery | 7895 Grand Blvd, Hobart, IN 46342-6665 | 2008-03-03 |
| 1316140882 | Hung Dang | Surgery | 1400 S Lake Park Ave, Ste 200, Hobart, IN 46342-6971 | 2007-06-11 |
| 1326241266 | Thomas Woo Shin | Surgery | 7895 Grand Blvd, Hobart, IN 46342-6665 | 2007-06-07 |
| 1225172083 | Brendan Patrick Frawley Jr. | Surgery | 7895 Grand Blvd, Hobart, IN 46342-6665 | 2007-02-16 |
| 1679616296 | Indiana Surgical Associates PC | Surgery | 7895 Grand Blvd, Hobart, IN 46342-6665 | 2007-02-14 |
| 1013050772 | Tom Nicholas Galouzis | Surgery | 7895 Grand Blvd, Hobart, IN 46342-6665 | 2007-02-14 |
| 1134102411 | Frank Adkins Thomas | Surgery | 407 W Forest Ln, Hobart, OK 73651-1645 | 2005-11-21 |
| Find all providers in HOBART | ||||
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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.