SAINT JOHN'S HEALTH SYSTEM (NPI# 1831270164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831270164 |
Entity Type | Organization |
Organization Name | SAINT JOHN'S HEALTH SYSTEM |
Other Organization Name | MED ONE SOUTH URGENT CARE CENTER |
Practice Address |
4925 S Scatterfield Rd Anderson IN 46013-2911 |
Practice Telephone | 7656466331 |
Practice Fax Number | 7656412593 |
Mailing Telephone | 7656466331 |
Mailing Fax Number | 7656412593 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-12-31 |
Authorized Official Name | MR. JAMES W MOORE (EXECUTIVE VICE PRESIDENT) |
Authorized Official Telephone | 7656468105 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Med One South Urgent Care Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154437531 | Saint John's Health System | Family Medicine | 2012 S Park Ave, Alexandria, IN 46001-8194 | 2006-08-21 |
1417065764 | Saint John's Health System | Pediatrics | 15 W 19th St, Anderson, IN 46016-4306 | 2006-08-28 |
1487760849 | Saint John's Health System | Family Medicine | 75 Village Dr, Pendleton, IN 46064-8960 | 2006-08-21 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | SAINT JOHN'S HEALTH SYSTEM CORPORATION | 27870 Cabot Dr, Novi, MI 48377 |
Street Address |
4925 S SCATTERFIELD RD |
City | ANDERSON |
State | IN |
Zip Code | 46013-2911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225501257 | Natalie Hill | Nurse Practitioner | 4925 S Scatterfield Rd, Anderson, IN 46013-2911 | 2019-01-02 |
1558879056 | Mame Dillion | Registered Nurse | 4925 S Scatterfield Rd, Anderson, IN 46013-2911 | 2018-01-18 |
1598217176 | Isaiah Antonio Cruz | Nurse Practitioner | 4925 S Scatterfield Rd, Anderson, IN 46013-2911 | 2016-10-28 |
1467785220 | Heather P Sheets | Nurse Practitioner | 4925 S Scatterfield Rd, Anderson, IN 46013-2911 | 2009-09-11 |
1548478902 | Saint John Health System | Orthopaedic Surgery | 4925 S Scatterfield Rd, Anderson, IN 46013-2911 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932639929 | John Till | Optometrist | 5535 South Scatterfield Road, Anderson, IN 46013 | 2017-06-13 |
1053595843 | Vidya Ramesh Bettagere | Dentist | 3819 Fairview Drive, Anderson, IN 46013 | 2007-12-28 |
1003978586 | Chris D Kinney | Dentist | 3825 Fairview Dr, Anderson, IN 46013 | 2006-12-14 |
1841350550 | Deena M Heller | Social Worker | 3125 S Scatterfield Rd Ste 200, Anderson, IN 46013 | 2006-12-11 |
1447320668 | Kregg Koons O.d., Inc. | Optometrist | 5535 Scatterfield Rd., Anderson, IN 46013 | 2006-11-08 |
1982261269 | Eloquence Therapy Services, P.C. | Speech-Language Pathologist | 3320 Main St, Suite J, Anderson, IN 46013 | 2019-05-22 |
1063977825 | Rachael Lauren Hartley | Nurse Practitioner | 3125 S Scatterfield Rd Ste 100, Anderson, IN 46013 | 2019-02-06 |
1710473194 | Myeyedr Optometry of Indiana, LLC | Optometrist | 1921 E 53rd St, Anderson, IN 46013 | 2018-07-09 |
1508356643 | Matthew M Miller | Physical Therapist | 4227 S Scatterfield Rd, Anderson, IN 46013 | 2018-05-15 |
1073040655 | Ashley Smith | Nurse Practitioner | 3125 S Scatterfield Rd Ste 300, Anderson, IN 46013 | 2017-05-15 |
Find all providers in zip 46013 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1437329018 | Moriah Healthcare Services LLC | Clinic/Center | 823 Pearman Dairy Rd, Anderson, SC 29625 | 2008-03-10 |
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1093349540 | Heart of Families LLC | Clinic/Center | 10435 Woodfield Pl, Fort Wayne, IN 46835-9750 | 2020-02-24 |
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1053807990 | American Currenct Care P.a. | Clinic/Center | 4125 W Clara Ln, Muncie, IN 47304-5466 | 2018-07-03 |
1942796883 | American Currenct Care P.a. | Clinic/Center | 11580 Overlook Dr Ste 100, Fishers, IN 46037-4221 | 2018-07-03 |
1396231239 | American Currenct Care P.a. | Clinic/Center | 5603 W Raymond St Ste A-d, Indianapolis, IN 46241-4364 | 2018-07-03 |
1144716077 | American Currenct Care P.a. | Clinic/Center | 700 E Beardsley Ave Ste 100, Elkhart, IN 46514-3365 | 2018-07-03 |
1023504966 | American Currenct Care P.a. | Clinic/Center | 1311 N Shadeland Ave Ste E-j, Indianapolis, IN 46219-3660 | 2018-07-03 |
1922594860 | American Currenct Care P.a. | Clinic/Center | 4850 Century Plaza Rd Ste 100, Indianapolis, IN 46254-5477 | 2018-07-03 |
1780170621 | American Currenct Care P.a. | Clinic/Center | 7301 Georgetown Rd Ste 109-111, Indianapolis, IN 46268-5124 | 2018-07-03 |
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.