ST MARYS HEALTH INC (NPI# 1548661077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548661077 |
| Entity Type | Organization |
| Organization Name | ST MARYS HEALTH INC |
| Other Organization Name | ST. VINCENT EVANSVILLE BREAST CENTER |
| Practice Address |
100 St Marys Epworth Xing Ste A500 Newburgh IN 47630-9497 |
| Practice Telephone | 8124854437 |
| Practice Fax Number | 8124856890 |
| Mailing Telephone | 8124854437 |
| Mailing Fax Number | 8124856890 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | KEITH JEWELL (PRESIDENT) |
| Authorized Official Telephone | 8124854000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ascension St. Vincent Evansville Breast Center | Doing Business As Name - Organization |
| St. Vincent Evansville Breast Center | Doing Business As Name - Organization |
| 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 |
| 1366082695 | St Marys Health Inc | Pharmacy | 100 St Marys Epworth Xing, Newburgh, IN 47630-9497 | 2020-01-15 |
| 1740682368 | St Marys Health Inc | Physical Therapist | 100 St Marys Epworth Xing, Ste A500, Newburgh, IN 47630-9497 | 2014-09-26 |
| Street Address |
100 ST MARYS EPWORTH XING STE A500 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-9497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502290 | St Mary's Breast Center, LLC | Physical Medicine & Rehabilitation | 100 St Marys Epworth Xing, Ste. A500, Newburgh, IN 47630-9698 | 2005-10-20 |
| 1366082695 | St Marys Health Inc | Pharmacy | 100 St Marys Epworth Xing, Newburgh, IN 47630-9497 | 2020-01-15 |
| 1053831719 | St Mary's Health Inc | Genetic Counselor, MS | 100 St Marys Epworth Xing, Newburgh, IN 47630-9497 | 2017-06-23 |
| 1215332309 | St. Mary's Health, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 100 St Marys Epworth Xing, Suite A500, Newburgh, IN 47630-9497 | 2014-10-31 |
| 1861895252 | St. Mary's Health, Inc. | Durable Medical Equipment & Medical Supplies | 100 St Marys Epworth Xing, Ste A001, Newburgh, IN 47630-9497 | 2014-09-30 |
| 1740682368 | St Marys Health Inc | Physical Therapist | 100 St Marys Epworth Xing, Ste A500, Newburgh, IN 47630-9497 | 2014-09-26 |
| 1629409628 | Maggie Dye | Physical Therapist | 100 St Marys Epworth Xing, Ste. A500, Newburgh, IN 47630-9698 | 2013-12-02 |
| 1942248497 | Donald R Brake Jr. | Family Medicine | 100 St Marys Epworth Xing, Ste A300, Newburgh, IN 47630-9497 | 2006-06-04 |
| 1144268889 | Karen T Brake | Family Medicine | 100 St Marys Epworth Xing, Ste A300, Newburgh, IN 47630-9497 | 2006-06-03 |
| 1194762229 | Rosabel C. Manalo | Family Medicine | 100 St Marys Epworth Xing, Ste A201, Newburgh, IN 47630-9497 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467761957 | Leading Edge Medical Diagnostic, PC | Radiology | 333 Broadway, Ste 2, Newburgh, NY 12550 | 2010-09-30 |
| 1205920402 | Advanced Medical Imaging | Radiology | 3 Corwin Court, Newburgh, NY 12550 | 2006-10-03 |
| 1215901269 | Harvey M Peck | Radiology | 320 Robinson Ave, C/o Orange Radiology Associates, PC, Newburgh, NY 12550-3353 | 2006-02-15 |
| 1477540516 | Koreen Kay Potts | Radiology | 2351 Julianne Cir, Newburgh, IN 47630-9056 | 2005-10-04 |
| 1144217241 | Gateway Imaging LLC | Radiology | 4087 Gateway Blvd, Newburgh, IN 47630-8947 | 2005-10-04 |
| 1083600738 | Steven G Becker | Radiology | 4799 Rosebud Ln, Newburgh, IN 47630-9225 | 2005-09-27 |
| 1134127822 | Mahesh Kinkhabwala | Radiology | 3 Corwin Ct, Newburgh, NY 12550-5107 | 2005-07-07 |
| 1720329048 | Jr Medical Diagnostic PC | Radiology | 5 Jeanne Dr, Suite 5, Newburgh, NY 12550-1798 | 2013-03-12 |
| 1770533465 | Orange Radiology Associates, P.C. | Radiology | 320 Robinson Ave, Newburgh, NY 12550-3353 | 2006-05-11 |
| 1326017401 | Frederick P Ayers | Radiology | 320 Robinson Ave, Newburgh, NY 12550-3353 | 2006-03-14 |
| Find all providers in NEWBURGH | ||||
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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.