ST MARGARET MERCY HEALTHCARE CENTERS, INC. (NPI# 1689746000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689746000 |
| Entity Type | Organization |
| Organization Name | ST MARGARET MERCY HEALTHCARE CENTERS, INC. |
| Other Organization Name | LAKE RIDGE OCCUPATIONAL HEALTH |
| Practice Address |
1573 N Cline Ave Griffith IN 46319-1567 |
| Mailing Address |
Po Box 1000 Dyer IN 46311-0800 |
| Practice Telephone | 2198382312 |
| Practice Fax Number | 2198381521 |
| Mailing Telephone | 2198642107 |
| Mailing Fax Number | 2198642251 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-06-23 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS GROUP NUMBER | 0090000854 | 01 |
| Other Name | Type Code |
|---|---|
| Lake Ridge Occupational Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245309376 | St Margaret Mercy Healthcare Centers, Inc. | Internal Medicine | 2450 169th St, Hammond, IN 46323-2074 | 2006-11-06 |
| 1871672014 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2006-11-06 |
| 1184703746 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 3340 E 134th St, Chicago, IL 60633-1539 | 2006-11-03 |
| 1871672451 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 1028 E Steger Rd, Crete, IL 60417-1362 | 2006-11-03 |
| 1295807188 | St Margaret Mercy Healthcare Centers, Inc. | Pediatrics | 24 Joliet St, Physician Pavilion # 302, Dyer, IN 46311-1705 | 2006-11-15 |
| 1124190020 | St Margaret Mercy Healthcare Centers, Inc. | Ophthalmology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-11-15 |
| 1073685970 | St Margaret Mercy Healthcare Centers, Inc. | Obstetrics & Gynecology | 5454 S Hohman Ave, Hammond, IN 46320-1931 | 2006-11-15 |
| 1801968706 | St Margaret Mercy Healthcare Centers, Inc. | Surgery | 24 Joliet St, Ste 101, Dyer, IN 46311-1705 | 2006-11-15 |
| 1467522870 | St Margaret Mercy Healthcare Centers, Inc. | Obstetrics & Gynecology | 24 Joliet St, Dyer, IN 46311-1705 | 2006-11-09 |
| 1962572370 | St Margaret Mercy Healthcare Centers, Inc. | Pediatrics | 5530 S Hohman Ave, Hammond, IN 46320-1935 | 2006-11-09 |
| Street Address |
1573 N CLINE AVE |
| City | GRIFFITH |
| State | IN |
| Zip Code | 46319-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851383814 | Tanya Roberts | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2005-08-16 |
| 1104062124 | Amie A Burns | Nurse Practitioner | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2008-12-22 |
| 1336384882 | St Margaret Mercy Healthcare Centers | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2008-12-12 |
| 1497915177 | Beth Callender | Registered Nurse | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2008-06-16 |
| 1952480519 | St Margaret Mercy Healthcare Centers, Inc. | Internal Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2006-11-03 |
| 1831105808 | Michael J Nommensen | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2006-07-31 |
| 1871532978 | David Deschepper | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2006-06-05 |
| 1205828258 | Charles Mok Jr. | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407246 | Nirmaldeep Singh Brar Dmd LLC | Dentist | 844 N Cline Ave Ste 2n, Griffith, IN 46319 | 2018-05-14 |
| 1467976472 | Grifflands Optical | Eyewear Supplier (Equipment, not the service) | 1951 West Glen Park Ave, Griffith, IN 46319 | 2017-08-01 |
| 1861760241 | Comfort Zone Counseling, LLC | Community/Behavioral Health | 597 N. Colfax St., Griffith, IN 46319 | 2011-12-13 |
| 1285847178 | Susan M Bowen | Speech-Language Pathologist | 607 Oriole Ave, Griffith, IN 46319 | 2007-05-07 |
| 1306058417 | Dental Professionals of Indiana, P.C. | Dentist | 1515 W 45th Ave, Griffith, IN 46319 | 2007-05-03 |
| 1568568855 | Timothy E Colby | Dentist | 1939 W 45th St, Griffith, IN 46319 | 2006-09-15 |
| 1477657419 | Veronica M. Camarillo | Optometrist | 1951 W Glen Park Ave, Griffith, IN 46319 | 2006-09-11 |
| 1114948437 | Hook-superx, L.L.C. | Pharmacy | 1195 E Ridge Rd, Griffith, IN 46319 | 2006-07-21 |
| 1942738992 | Rikin R Patel | Dentist | 1555 N Cline Ave, Griffith, IN 46319 | 2017-06-02 |
| 1376585687 | Mohamed Monzer Krad | Family Medicine | 315 W 35th Ave, Griffith, IN 46319-1003 | 2006-06-12 |
| Find all providers in zip 46319 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965804 | Immediate Home Care Physicians LLC | Family Medicine | 1519 N Cline Ave, Griffith, IN 46319-1567 | 2018-03-13 |
| 1376585687 | Mohamed Monzer Krad | Family Medicine | 315 W 35th Ave, Griffith, IN 46319-1003 | 2006-06-12 |
| 1851383814 | Tanya Roberts | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2005-08-16 |
| 1336384882 | St Margaret Mercy Healthcare Centers | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2008-12-12 |
| 1558531095 | American Family Medical Center,llc | Family Medicine | 315 W 35th Ave, Griffith, IN 46319-1003 | 2008-03-11 |
| 1023192440 | Farah Najamuddin, M.d. | Family Medicine | 1951 W Glen Park Ave, Griffith, IN 46319-3703 | 2006-10-24 |
| 1831105808 | Michael J Nommensen | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2006-07-31 |
| 1871532978 | David Deschepper | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2006-06-05 |
| 1205828258 | Charles Mok Jr. | Family Medicine | 1573 N Cline Ave, Griffith, IN 46319-1567 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556465 | Neuro Health Indianapolis LLC | Family Medicine | 1553 W Oak St, Zionsville, IN 46077-1840 | 2020-10-21 |
| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| 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.