SACRIS MEDICAL CORPORATION PC (NPI# 1952514895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952514895 |
| Entity Type | Organization |
| Organization Name | SACRIS MEDICAL CORPORATION PC |
| Practice Address |
2000 Roosevelt Rd Suite 207 Valparaiso IN 46383-2800 |
| Mailing Address |
Po Box 1338 Valparaiso IN 46384-1338 |
| Practice Telephone | 2194624042 |
| Practice Fax Number | 2194621444 |
| Mailing Telephone | 2194624042 |
| Mailing Fax Number | 2194621444 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-10-01 |
| Authorized Official Name | MR. MICHAEL H DELA VINA (OFFICE MANAGER) |
| Authorized Official Telephone | 2194624042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VH0002X |
Obstetrics & Gynecology Specialization: Hospice and Palliative Medicine |
01025728 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS OF INDIANA | 000000109115 | 01 |
| IN | 100076930A | 05 | |
| IN | BLUE CROSS OF ILLINOIS | 90000239 | 01 |
| Street Address |
2000 ROOSEVELT RD SUITE 207 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618078 | Maria O. Sacris | Obstetrics & Gynecology | 2000 Roosevelt Rd, Ste 207, Valparaiso, IN 46383-2802 | 2005-06-08 |
| 1902198831 | St Mary Medical Center Inc | General Practice | 2000 Roosevelt Rd, Ste 5, Valparaiso, IN 46383-2800 | 2011-05-11 |
| 1750682233 | John D Roscoe Md PC | Family Medicine | 2000 Roosevelt Rd, Suite 203, Valparaiso, IN 46383-2800 | 2010-11-15 |
| 1407090335 | La Porte Regional Physician Network, Inc | Neurological Surgery | 2000 Roosevelt Rd, Suite 202, Valparaiso, IN 46383-2800 | 2009-04-22 |
| 1497911697 | Jane Bradlaw | Emergency Medicine | 2000 Roosevelt Rd, Department of Emergency Medicine, Valparaiso, IN 46383-2800 | 2008-08-06 |
| 1780879114 | Chung Kiel Kim | Orthopaedic Surgery | 2000 Roosevelt Rd, Suite 104, Valparaiso, IN 46383-2800 | 2007-09-10 |
| 1245382498 | St Mary Medical Center Inc | Internal Medicine | 2000 Roosevelt Rd, Ste 5, Valparaiso, IN 46383-2800 | 2007-01-17 |
| 1447310503 | John Dominic Roscoe Jr. | Family Medicine | 2000 Roosevelt Rd, Suite 203, Valparaiso, IN 46383-2800 | 2006-12-11 |
| 1811075948 | Associates In Neurology, P.C. | Psychiatry & Neurology | 2000 Roosevelt Rd, Ste 201, Valparaiso, IN 46383-2802 | 2006-11-02 |
| 1225130867 | Michael A Woods | Emergency Medicine | 2000 Roosevelt Rd, Valparaiso, IN 46383-2800 | 2006-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 207VH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Hospice and Palliative Medicine |
| An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265642409 | Kimberly Ann Roop | Obstetrics & Gynecology | 1001 Stansfield Dr, Carmel, IN 46032-3431 | 2007-05-23 |
| 1477676724 | Jonathan A. Fisch, Md, PC | Obstetrics & Gynecology | 8330 Naab Rd, Suite 302, Indianapolis, IN 46260-5925 | 2007-04-09 |
| City | VALPARAISO |
| Zip Code | 46383 |
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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.