St Vincent Medical Group Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ST VINCENT MEDICAL GROUP INC

Practice address

590 Pit Rd
Brownsburg, IN 46112-7830

Phone

(317) 926-1056

NPI assigned

Aug 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Morris

Title

Cfo

Phone

(317) 338-6234

Specialties & licenses 1

Addresses

Other names 1

• ASCENSION MEDICAL GROUP ST. VINCENT Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1003582602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 96TH ST STE 520",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 PIT RD",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461127830",
            "telephone_number": "317-926-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-338-6234"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASCENSION MEDICAL GROUP ST. VINCENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASCENSION MEDICAL GROUP ST. VINCENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Jane Spencer, FNP
• Pamela Spidell, RPH
• Mariah Spoon, DPT
• Hannah Sprinkle, RBT
• Prajin Srivastav
• St. Vincent Medical Group, Inc.
• St. Vincent Medical Group, Inc.
• Jessica Staab, RBT
• Dana S Staker
• Sandra Jane Staley, MS, PT

• Durable Medical Equipment & Medical Supplies in Brownsburg, IN
• Providers in Brownsburg, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.