THE LITTLE COMPANY OF MARY HOSPITAL OF INDIANA, INC (NPI# 1790863835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790863835 |
| Entity Type | Organization |
| Organization Name | THE LITTLE COMPANY OF MARY HOSPITAL OF INDIANA, INC |
| Other Organization Name | MEMORIAL HOSPITAL AND HEALTH CARE CENTER ONCOLOGY |
| Practice Address |
721 W 13th St Suite 122 Jasper IN 47546-1855 |
| Mailing Address |
Po Box 1028 Jasper IN 47547-1028 |
| Practice Telephone | 8124820626 |
| Practice Fax Number | 8124820650 |
| Mailing Telephone | 8124818483 |
| Mailing Fax Number | 8124818497 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | RAYMOND W SNOWDEN (PRESIDENT, CEO) |
| Authorized Official Telephone | 8124822345 |
| Is Organization Subpart | Y |
| Parent Organization Name | LITTLE COMPANY OF MARY HOSPITAL OF INDIANA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | CB1118 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Hospital and Health Care Center Oncology | Doing Business As Name - Organization |
| Street Address |
721 W 13TH ST SUITE 122 |
| City | JASPER |
| State | IN |
| Zip Code | 47546-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977337 | Cindy L Casey | Radiology | 721 W 13th St, Jasper, IN 47546-1817 | 2005-07-22 |
| 1154789436 | Richard Moss Md | Clinic/Center | 721 W 13th St, Suite 208, Jasper, IN 47546-1855 | 2016-02-02 |
| 1427424910 | April Susnjara | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-08-19 |
| 1336530500 | Nicole Nale | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-02-10 |
| 1457786501 | Allyson Mudd | Nurse Practitioner | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-09-09 |
| 1427482074 | Evan B Hurst, Md, Internal Medicine, PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-08-29 |
| 1427481852 | Kristen El-houjairy | Nurse Practitioner | 721 W 13th St, Suite 325, Jasper, IN 47546-1855 | 2013-08-21 |
| 1275974255 | Krystle Susan Hahus | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-07-08 |
| 1881031821 | Lindsey Taylor | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-05-31 |
| 1285973016 | Ann B Patterson Md PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750453254 | Brian Alexander Geller | Internal Medicine | 134 Mountainside Village Pkwy Ste 100, Jasper, GA 30143-8694 | 2006-11-14 |
| 1215007273 | Southeast Cancer Network, Inc | Internal Medicine | 3500 Hwy 78 East, Jasper, AL 35501 | 2006-11-08 |
| 1518921733 | Baptist Cancer Center | Internal Medicine | 3500 Highway 78 E, Jasper, AL 35501-8908 | 2006-04-14 |
| 1447249156 | Curtis R Miles | Internal Medicine | 1020 J L White Dr Ste 160, Jasper, GA 30143-4910 | 2005-10-14 |
| 1851566202 | Ghada Mahmood Kunter | Internal Medicine | 1020 J L White Dr Ste 160, Jasper, GA 30143-4910 | 2008-04-28 |
| 1184639098 | Georgia Cancer Specialists I PC | Internal Medicine | 620 J L White Dr, Suite 140, Jasper, GA 30143-4896 | 2006-07-29 |
| 1053350140 | Karim Anwar | Internal Medicine | 800 W 9th St, Jasper, IN 47546-2514 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
| 1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
| 1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
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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.