SAINT JOHN'S HEALTH SYSTEM (NPI# 1487760849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487760849 |
| Entity Type | Organization |
| Organization Name | SAINT JOHN'S HEALTH SYSTEM |
| Other Organization Name | PENDLETON FAMILY PRACTICE CENTER |
| Practice Address |
75 Village Dr Pendleton IN 46064-8960 |
| Practice Telephone | 7657780913 |
| Practice Fax Number | 7657781374 |
| Mailing Telephone | 7657780913 |
| Mailing Fax Number | 7657781374 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES W MOORE (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 7656468105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pendleton Family Practice Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831270164 | Saint John's Health System | Preventive Medicine | 4925 S Scatterfield Rd, Anderson, IN 46013-2911 | 2006-10-17 |
| 1154437531 | Saint John's Health System | Family Medicine | 2012 S Park Ave, Alexandria, IN 46001-8194 | 2006-08-21 |
| 1417065764 | Saint John's Health System | Pediatrics | 15 W 19th St, Anderson, IN 46016-4306 | 2006-08-28 |
| Street Address |
75 VILLAGE DR |
| City | PENDLETON |
| State | IN |
| Zip Code | 46064-8960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548299233 | Gary A Wright | Family Medicine | 75 Village Dr, Pendleton, IN 46064-8960 | 2006-07-03 |
| 1437424686 | Michael Meng | Family Medicine | 75 Village Dr, Pendleton, IN 46064-8960 | 2012-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912214727 | Classic Sleepcare, LLC | Durable Medical Equipment & Medical Supplies | 138 West State Street, Suite #4, Pendleton, IN 46064 | 2010-09-01 |
| 1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
| 1003004219 | Hamilton-madison, Inc. | Durable Medical Equipment & Medical Supplies | 105 1/2 E. State Street, Pendleton, IN 46064 | 2007-10-12 |
| 1518019637 | Pendleton Emergency Ambulance Inc | Ambulance | 100 S Broadway, Pendleton, IN 46064 | 2007-01-17 |
| 1487755716 | Anna Marie Tallant | Counselor | 131 N Pendleton Ave, Suite A, Pendleton, IN 46064 | 2006-09-26 |
| 1336242700 | Jennifer A Neise | Dentist | 3132 W. State Road 38, Pendleton, IN 46064 | 2006-09-07 |
| 1366900599 | Megan Daberko | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2019-03-06 |
| 1821594672 | Jean Castro | Registered Nurse | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064 | 2018-04-02 |
| 1013002310 | Kenneth U Lau | Dentist | 210 East Water Street, Pendleton, IN 46064 | 2006-10-03 |
| 1912955832 | Indiana Tmj Treatment Center | Dentist | 210 East Water Street, Pendleton, IN 46064-0206 | 2006-05-04 |
| Find all providers in zip 46064 | ||||
| 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 |
|---|---|---|---|---|
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1629239355 | Stephanie Jane Russ | Family Medicine | 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 | 2008-06-25 |
| 1649449166 | Manpreet Multani | Family Medicine | 3041 W Us Highway 36, Pendleton, IN 46064-9280 | 2008-02-28 |
| 1861675456 | Anmed Health | Family Medicine | 1005 Meehan Way, Pendleton, SC 29670-1824 | 2007-12-06 |
| 1841207255 | Eric C Jones | Family Medicine | 138 W State St, Pendleton, IN 46064-1034 | 2006-08-01 |
| 1346261971 | Community Hospitals of Indiana Inc | Family Medicine | 1251 Huntzinger Blvd, Suite 100, Pendleton, IN 46064-9493 | 2006-07-21 |
| 1790705259 | Pendleton Family Practice, LLC | Family Medicine | 101 Shirley St, Pendleton, SC 29670-1824 | 2006-07-20 |
| 1104846351 | Robert G Johnson Jr. | Family Medicine | 2450 Sw Perkins Ave, Pendleton, OR 97801 | 2006-07-20 |
| 1548299233 | Gary A Wright | Family Medicine | 75 Village Dr, Pendleton, IN 46064-8960 | 2006-07-03 |
| 1619911757 | Traci A Anderson | Family Medicine | 1251 Huntzinger Blvd Ste 100, Pendleton, IN 46064-9404 | 2006-06-16 |
| Find all providers in PENDLETON | ||||
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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.