ST MARGARET MERCY HEALTHCARE CENTERS (NPI# 1588850259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588850259 |
| Entity Type | Organization |
| Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS |
| Other Organization Name | UROSURGERY CLINIC |
| Practice Address |
5454 Hohman Ave 1 Floor C Hammond IN 46320-1931 |
| Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
| Practice Telephone | 2199325576 |
| Practice Fax Number | 2199332655 |
| Mailing Telephone | 2198642107 |
| Mailing Fax Number | 2198642251 |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2011-02-04 |
| Authorized Official Name | THOMAS GRYZBEK (PRESIDENT) |
| Authorized Official Telephone | 2199322300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200159110O | 05 | |
| IL | BCBS | 90000854 | 01 |
| Other Name | Type Code |
|---|---|
| Urosurgery Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861564361 | St Margaret Mercy Healthcare Centers | Counselor | 312 Ridge Road, Munster, IN 46321-1528 | 2006-11-14 |
| 1558440149 | St Margaret Mercy Healthcare Centers | Family Medicine | 3831 S Hohman Ave, Hammond, IN 46327-1160 | 2006-11-03 |
| 1679857411 | St Margaret Mercy Healthcare Centers | Obstetrics & Gynecology | 24 Joliet St, Dyer, IN 46311-1705 | 2011-09-28 |
| 1376857516 | St Margaret Mercy Healthcare Centers | Pediatrics | 8242 Calumet Ave, Munster, IN 46321-1758 | 2010-07-29 |
| 1689813495 | St Margaret Mercy Healthcare Centers | Orthopaedic Surgery | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2009-02-18 |
| 1306085113 | St Margaret Mercy Healthcare Centers | Orthopaedic Surgery | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2009-02-18 |
| 1336384882 | St Margaret Mercy Healthcare Centers | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2008-12-12 |
| 1982771267 | St Margaret Mercy Healthcare Centers | Orthopaedic Surgery | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2006-11-29 |
| 1659448314 | St Margaret Mercy Healthcare Centers | Family Medicine | 10860 Maple Ln, Saint John, IN 46373-8418 | 2006-11-29 |
| 1487726378 | St Margaret Mercy Healthcare Centers | Family Medicine | 24 Joliet St, Unit 302, Dyer, IN 46311-1705 | 2006-11-15 |
| Street Address |
5454 HOHMAN AVE 1 FLOOR C |
| City | HAMMOND |
| State | IN |
| Zip Code | 46320-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225491 | Franciscan Health Dyer & Hammond | Home Health | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2005-06-14 |
| 1518587310 | Kristen Brady | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-21 |
| 1932738093 | Oluwayomi Olalekan Omosebi | Physical Therapist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-04-02 |
| 1760012231 | Jacob Latham | Pharmacist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2020-01-23 |
| 1861033060 | Erica Lynn Deenihan | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-09-30 |
| 1568015394 | Danielle Rose Balzano | Registered Nurse | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-07-21 |
| 1386104826 | Daniela Lazarevic | Student in an Organized Health Care Education/Training Program | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-03-21 |
| 1629533872 | Thomas Blodgett | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-02-01 |
| 1073086252 | Scott T Fairhurst | Nurse Practitioner | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2019-01-10 |
| 1053848622 | Eshwar Nagraj Murthy | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2017-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1700397478 | Prairie Healthcare Services LLC | Home Health | 5920 Hohman Av, Hammond, IN 46320 | 2017-10-20 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1407108079 | Lakeside Behavioral Solutions | Community/Behavioral Health | 5944 1/2 Hohman Ave., Hammond, IN 46320 | 2012-10-08 |
| 1609098607 | Martha Socorro Kozub | Nurse Practitioner | 5514 Hohman Ave., Hammond, IN 46320 | 2007-05-02 |
| 1851414379 | A&k Kouklakis Od. P.C. | Eyewear Supplier (Equipment, not the service) | 1303 165th Street, Hammond, IN 46320 | 2007-04-09 |
| 1639278138 | Syed Sohail Ahmed | Psychiatry & Neurology | 5500 Hohman Avenue, Suite 1e, Hammond, IN 46320 | 2006-09-21 |
| 1215990965 | Trc - Indiana LLC | Clinic/Center | 222 Douglas St, Hammond, IN 46320 | 2006-04-11 |
| 1700845260 | Deepak Ariga | Internal Medicine | 5529 Hohman Avenue, Hammond, IN 46320 | 2006-03-22 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| Find all providers in zip 46320 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030005 | Red Envelope Apmc | Urology | 15770 Paul Vega Dr Ste 200, Hammond, LA 70403-1475 | 2020-07-07 |
| 1619232774 | Jay Heintz M.d. A Professional Medical LLC | Urology | 15770 Paul Vega Dr, Suite 200, Hammond, LA 70403-1475 | 2012-07-05 |
| 1871597443 | Bonadelvert C Suarez | Urology | 42421 Pelican Professional Park, Hammond, LA 70403-2405 | 2005-06-10 |
| 1326433756 | Jason Chiang | Urology | 15770 Paul Vega Dr, Hammond, LA 70403-1475 | 2015-04-02 |
| 1528397023 | Robert B. Kidd Md Apmc | Urology | 15770 Paul Vega Md Dr, 200, Hammond, LA 70403-1475 | 2009-12-11 |
| 1356514129 | Urology Clinic of Tangipahoa | Urology | 2101 Robin Ave, Suite 1, Hammond, LA 70403-5772 | 2008-04-11 |
| 1568634863 | Urology Clinic of Tangipahoa | Urology | 2101 Robin Ave, Suite 1, Hammond, LA 70403-5772 | 2008-03-26 |
| 1457529679 | Jens F Graversen Md Apm LLC | Urology | 15770 Paul Vega Md Dr, Ste 200, Hammond, LA 70403-1475 | 2008-02-11 |
| 1467650804 | Stephen M Graham | Urology | 15813 Paul Vega Md Dr, Suite 201-a, Hammond, LA 70403-1426 | 2007-07-06 |
| 1922205160 | Brad M Lake | Urology | 15813 Paul Vega Md Dr, Hammond, LA 70403-1426 | 2007-06-29 |
| Find all providers in HAMMOND | ||||
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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.