ST MARY MEDICAL CENTER INC (NPI# 1609188598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609188598 |
Entity Type | Organization |
Organization Name | ST MARY MEDICAL CENTER INC |
Other Organization Name | INNOVATIVE WOMENS HEALTH |
Practice Address |
850 Marsh Street Suite C Valparaiso IN 46385-6239 |
Mailing Address |
9660 Wicker Avenue St John IN 46373-9487 |
Practice Telephone | 2194623377 |
Practice Fax Number | 2194644530 |
Mailing Telephone | 2192262203 |
Mailing Fax Number | 2192262202 |
Enumeration Date | 2010-07-08 |
Last Update Date | 2010-07-08 |
Authorized Official Name | JANICE RYBA (CEO) |
Authorized Official Telephone | 2199420551 |
Is Organization Subpart | Y |
Parent Organization Name | ST MARY MEDICAL CENTER INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200966140 | 05 |
Other Name | Type Code |
---|---|
INNOVATIVE WOMENS HEALTH | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1992022958 | St Mary Medical Center Inc | Urology | 1400 S Lake Park Ave, Ste 105, Hobart, IN 46342-6790 | 2010-04-29 |
Street Address |
850 MARSH STREET SUITE C |
City | VALPARAISO |
State | IN |
Zip Code | 46385-6239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831738657 | William K Mitchell V | Nurse Anesthetist, Certified Registered | 85 E Us-6 Frontage Rd, Valparaiso, IN 46385 | 2019-12-26 |
1235609850 | Krystal Melinda Ketchem | Specialist/Technologist | 786 Mccool Rd Suite 8, Valparaiso, IN 46385 | 2018-11-27 |
1295254738 | Tiffany Rudziewicz | Massage Therapist | 417 Center St., Valparaiso, IN 46385 | 2017-09-15 |
1700255866 | Stephanie Ebsch | Developmental Therapist | 332 W Hwy 6, Valparaiso, IN 46385 | 2015-09-18 |
1851781637 | Emily Bisch | Specialist/Technologist | 304 Alba Ct, Valaparaiso, IN 46385 | 2015-01-30 |
1255734042 | Jacobs Ladder | Early Intervention Provider Agency | 322 W. 806n, Valparaiso, IN 46385 | 2014-10-07 |
1952715062 | Emily Barnes | Occupational Therapist | 332 W. Hwy 6, Valparaiso, IN 46385 | 2014-06-17 |
1073853990 | April M Sanders | Social Worker | 660 W. Morthland Dr, Valparraiso, IN 46385 | 2013-03-01 |
1245528843 | Bridget K Sibo | Social Worker | 2453 Knights Bridge Drive, Valparaiso, IN 46385 | 2011-07-16 |
1053586883 | Luis L Cuellar Jr. | Dentist | 225 Aberdeen Drive, Suite E, Valparaiso, IN 46385 | 2008-04-23 |
Find all providers in zip 46385 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225537319 | Jeannette Colon, M.d., P.C. | Obstetrics & Gynecology | 401 Wall St Unit A, Valparaiso, IN 46383-2585 | 2018-02-05 |
1396011904 | Frank Ludwig Behrend | Obstetrics & Gynecology | 2208 Wynnewood Dr, Valparaiso, IN 46385-2829 | 2012-03-28 |
1922319318 | St Mary Medical Center Inc | Obstetrics & Gynecology | 1551 S Sturdy Road, Valparaiso, IN 46383-7883 | 2010-06-30 |
1013184555 | Womens Medical Care LLC | Obstetrics & Gynecology | 2590 Morthland Dr, Valparaiso, IN 46385-6701 | 2008-05-14 |
1992870893 | The Woman's Wellness Center, P.C. | Obstetrics & Gynecology | 2590 Morthland Dr., Suite 1, Valparaiso, IN 46385-6702 | 2006-11-24 |
1104838309 | Christopher M Wirsing | Obstetrics & Gynecology | 880 Eastport Centre Dr, Suite 200, Valparaiso, IN 46383-2909 | 2006-08-13 |
1083653711 | Elizabeth A Rutherford | Obstetrics & Gynecology | 85 East Us Highway 6, Suite 330, Valparaiso, IN 46383 | 2006-06-06 |
1083618078 | Maria O. Sacris | Obstetrics & Gynecology | 2000 Roosevelt Rd, Ste 207, Valparaiso, IN 46383-2802 | 2005-06-08 |
1386956613 | Munster Medical Research Foundation Inc | Obstetrics & Gynecology | 1551 S Sturdy Road, Valparaiso, IN 46383-7883 | 2010-07-01 |
1346426533 | Kurt A. Wiese, M.d., P.C. | Obstetrics & Gynecology | 401 Wall St, Suite B, Valparaiso, IN 46383-2521 | 2008-01-17 |
Find all providers in VALPARAISO |
City | VALPARAISO |
Zip Code | 46385 |
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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.