ST MARY MEDICAL CENTER INC


Address: 850 Marsh Street, Suite C, Valparaiso, IN 46385-6239
Phone: 2194623377

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IN 200966140 05

Other Provider/Organization Names

Other Name Type Code
INNOVATIVE WOMENS HEALTH Other Name - Individual/Organization

Other Provider IDs and Locations

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

Office Location

Street Address 850 MARSH STREET
SUITE C
City VALPARAISO
State IN
Zip Code 46385-6239

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City VALPARAISO
Zip Code 46385

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Dataset Information

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.

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