ST MARGARET MERCY HEALTHCARE CENTERS, INC (NPI# 1669702106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669702106 |
| Entity Type | Organization |
| Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS, INC |
| Other Organization Name | EAR NOSE AND THROAT CLINIC |
| Practice Address |
24 Joliet St Ste 101 Dyer IN 46311-1705 |
| Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
| Practice Telephone | 2198642059 |
| Practice Fax Number | 2198642644 |
| Mailing Telephone | 2198642268 |
| Mailing Fax Number | 2198642649 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | HEATHER MAPLE (CONTROLLER) |
| Authorized Official Telephone | 2199322300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
02000967A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200504980 | 05 |
| Other Name | Type Code |
|---|---|
| Ear Nose and Throat Clinic | Doing Business As Name - Organization |
| Street Address |
24 JOLIET ST STE 101 |
| City | DYER |
| State | IN |
| Zip Code | 46311-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588730063 | Revathy Ameeruddin | Physical Medicine & Rehabilitation | 24 Joliet St Ste 101, Dyer, IN 46311-1705 | 2006-11-28 |
| 1598027153 | John Frederick | Internal Medicine | 24 Joliet St Ste 101, Dyer, IN 46311 | 2012-06-11 |
| 1285909382 | Abdulrahman Baig | Internal Medicine | 24 Joliet St Ste 101, Dyer, IN 46311-1705 | 2012-03-21 |
| 1588826531 | Ritesh Panwar | Internal Medicine | 24 Joliet St Ste 101, Dyer, IN 46311 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073990867 | Ear, Nose, Throat, Sinus | Otolaryngology | 8840 Calumet Ave Ste 101, Munster, IN 46321-2546 | 2015-04-30 |
| 1376882399 | Unity Healthcare, LLC | Otolaryngology | 1345 Unity Pl Ste 110a, Lafayette, IN 47905-5760 | 2013-02-12 |
| 1528040045 | Kyle D. Loy | Otolaryngology | 2606 Veterans Memorial Pkwy S, Suite 1, Lafayette, IN 47909-9192 | 2005-11-18 |
| 1467851139 | Great Lakes Healthcare Specialists LLC | Otolaryngology | 900 Ridge Road, Suite E, Munster, IN 46321-1727 | 2014-08-19 |
| 1417186487 | Duran Back Pain Chiropractic Clinic, Inc. | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2009-07-10 |
| 1487892766 | Richard Kurtz Md Professional Corporation | Otolaryngology | 3351 N Meridian St, Suite 100, Indianapolis, IN 46208-4674 | 2009-01-26 |
| 1811152572 | St. Margaret Mercy Healthcare Centers, Inc | Otolaryngology | 5500 Hohman Avenue, Suite 2a, Hammond, IN 46320-1942 | 2008-07-22 |
| 1275735581 | John S Gilbert | Otolaryngology | 1753 Fulton St, Elkhart, IN 46514-1927 | 2007-05-31 |
| 1861609216 | Jatin R Patel | Otolaryngology | 8840 Calumet Ave Ste 101, Munster, IN 46321-2546 | 2007-05-16 |
| 1871715011 | Peter Nicholas Rigas II | Otolaryngology | 12188a N Meridian St, Suite 375, Carmel, IN 46032-4406 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.