ST. VINCENT JENNINGS HOSPITAL, INC. (NPI# 1710939244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710939244 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT JENNINGS HOSPITAL, INC. |
| Other Organization Name | ST. VINCENT JENNINGS ER |
| Practice Address |
301 Henry St North Vernon IN 47265-1030 |
| Mailing Address |
10330 N Meridian St Suite 201 Indianapolis IN 46290-1024 |
| Practice Telephone | 8123524200 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | KEVIN MCANDREWS (VICE PRESIDENT) |
| Authorized Official Telephone | 3175833194 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. VINCENT JENNINGS HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200846370A | 05 |
| Other Name | Type Code |
|---|---|
| St. Vincent Jennings ER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285684829 | St. Vincent Jennings Hospital, Inc. | General Acute Care Hospital | 301 Henry St, North Vernon, IN 47265-1063 | 2006-05-12 |
| Street Address |
301 HENRY ST |
| City | NORTH VERNON |
| State | IN |
| Zip Code | 47265-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659368629 | Stephanie M Johnson | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2005-10-04 |
| 1578918918 | Chelsea Faith Dugle | Physician Assistant | 301 Henry St, North Vernon, IN 47265-1030 | 2016-05-03 |
| 1265802409 | Katherine Conover | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2015-09-30 |
| 1821493347 | Bradley Stephens | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2014-10-27 |
| 1659796555 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 301 Henry St, North Vernon, IN 47265-1030 | 2014-02-28 |
| 1194159426 | Indiana Emergency Physicians, LLP | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2013-08-22 |
| 1093158925 | Shelley L Clark | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2013-04-10 |
| 1003180548 | St. Vincent Medical Group, Inc. | Clinic/Center | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-03-01 |
| 1376816975 | St. Vincent Medical Group, Inc. | Clinic/Center | 301 Henry St, North Vernon, IN 47265-1030 | 2012-02-14 |
| 1801167960 | Karrie Lynn Reuter | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
| 1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
| 1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
| 1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
| 1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
| 1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
| 1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
| 1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
| 1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
| 1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
| Find all providers in zip 47265 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376512376 | Rabab Fatima Hashim | Surgery | 325 Henry St, North Vernon, IN 47265-1030 | 2006-03-14 |
| 1023086014 | Larry E Brooks | Surgery | 351 North Greensburg Street, North Vernon, IN 47265 | 2006-03-08 |
| 1215117882 | Krantinath V Raikhelkar | Surgery | 325 Henry St, North Vernon, IN 47265-1030 | 2007-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416076 | Elkhart Clinic, LLC | Surgery | 2240 Karisa Dr Ste 1, Goshen, IN 46526-6943 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1013568724 | Amber D Petty | Surgery | 2401 W University Ave Ste 403, Muncie, IN 47303-3428 | 2019-09-24 |
| 1972162246 | Christopher Anthony Lawton | Surgery | 635 Barnhill Dr Ste 116, Indianapolis, IN 46202-5126 | 2019-06-11 |
| 1013436922 | Stephen Neil Quigley | Surgery | 550 University Blvd # Uh1295, Indianapolis, IN 46202-5149 | 2017-09-12 |
| 1821512138 | Decatur County Memorial Hospital | Surgery | 731 N Lincoln St, Greensburg, IN 47240-1328 | 2017-07-28 |
| 1881120434 | Henry Lee Roberts | Surgery | 545 Barnhill Dr # 125, Indianapolis, IN 46202 | 2017-05-02 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1962806851 | Shotaro Sano | Surgery | 2451 Intelliplex Dr Ste 280, Shelbyville, IN 46176-8580 | 2014-10-21 |
| 1336540814 | Fredrick Allen Hillis | Surgery | 374 S Shore Dr, Culver, IN 46511-8908 | 2014-09-15 |
| Find all providers with the same taxonomy | ||||
| City | NORTH VERNON |
| Zip Code | 47265 |
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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.