ST. VINCENT MEDICAL GROUP, INC. (NPI# 1679822100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679822100 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT MEDICAL GROUP, INC. |
| Practice Address |
2201 W Sudbury Dr Suite C Bloomington IN 47403-3811 |
| Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
| Practice Telephone | 8123331933 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |
| Authorized Official Name | KEVIN MCANDREWS (VICE PRESIDENT) |
| Authorized Official Telephone | 3175833194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790317964 | St. Vincent Medical Group, Inc. | Health Educator | 401 E Michigan St, Indianapolis, IN 46204-1643 | 2020-02-06 |
| 1720555170 | St. Vincent Medical Group, Inc. | Physiological Laboratory | 1300 Innovation Parkway, #150, Greenwood, IN 46143-3625 | 2018-10-24 |
| 1578162988 | St. Vincent Medical Group, Inc. | Preventive Medicine | 1579 Olive Branch Parke Lane, #180, Greenwood, IN 46143-5754 | 2020-10-19 |
| 1750998795 | St. Vincent Medical Group, Inc. | Preventive Medicine | 14828 Greyhound Ct Ste 100, Carmel, IN 46032-5016 | 2020-09-24 |
| 1194251439 | St. Vincent Medical Group, Inc. | Clinic/Center | 590 Pit Rd, #200, Brownsburg, IN 46112 | 2017-05-05 |
| 1962946459 | St. Vincent Medical Group, Inc. | Clinic/Center | 1684 Bush Ln, #100, Crawfordsville, IN 47933 | 2016-12-19 |
| 1902349483 | St. Vincent Medical Group, Inc. | Clinic/Center | 2155 E Main St, 150, Plainfield, IN 46168 | 2016-12-01 |
| 1124459573 | St. Vincent Medical Group, Inc. | Pharmacy | 7408 W State Road 28, Suite 1, Elwood, IN 46036-8600 | 2013-12-11 |
| 1144560350 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite C, Frankfort, IN 46041-3377 | 2013-02-25 |
| 1962747410 | St. Vincent Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1258 Oak St, Suite A, Frankfort, IN 46041-3377 | 2012-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST. VINCENT MEDICAL GROUP, INC. | 10330 N. Meridian St., Suite 300, Indianapolis, IN 46290 |
| Street Address |
2201 W SUDBURY DR SUITE C |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881621605 | Jeff C.c. Thomas | Physical Medicine & Rehabilitation | 2201 W Sudbury Dr, Suite C, Bloomington, IN 47403-3812 | 2006-06-27 |
| 1669609400 | Bloomington Orthopedic Spine Clinic LLC | Orthopaedic Surgery | 2201 W Sudbury Dr, Ste C, Bloomington, IN 47403-3812 | 2009-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639631526 | Multiple Care of Mn, LLC | Orthopaedic Surgery | 8500 Normandale Lake Blvd Ste 350, Bloomington, MN 55437-3805 | 2019-04-01 |
| 1215046313 | Robert K Seidl | Orthopaedic Surgery | 2406 E. Empire St., Bloomington, IL 61704 | 2006-08-30 |
| 1376599506 | Brian P. Murphy | Orthopaedic Surgery | 3209 W Fullerton Pike Ste A, Bloomington, IN 47403-4060 | 2006-05-26 |
| 1285633420 | Joseph Kaysing Newcomer | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2005-07-19 |
| 1316582273 | Nicole Christine Bermudes | Orthopaedic Surgery | 1111 Trinity Ln Ste 111, Bloomington, IL 61704-8112 | 2019-11-14 |
| 1194245753 | Orthopaedics-indianapolis, Inc. | Orthopaedic Surgery | 3209 W Fullerton Pike Ste A, Bloomington, IN 47403-4060 | 2017-06-26 |
| 1649676404 | Stefan Turkula | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431 | 2014-11-06 |
| 1053759092 | Brandon Royce Hood | Orthopaedic Surgery | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2013-06-12 |
| 1669818548 | Jessica Brozek | Orthopaedic Surgery | 8100 Northland Dr, Bloomington, MN 55431 | 2013-05-17 |
| 1851640387 | St. Vincent Medical Group, Inc. | Orthopaedic Surgery | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2012-08-30 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.