St Vincent Pediatric Subspecialties

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

050050751 Issued in IN

Legal business name

ST VINCENT PEDIATRIC SUBSPECIALTIES

Practice address

2001 W 86TH St
Indianapolis, IN 46260-1902

Phone

(317) 338-2273

NPI assigned

May 11, 2006

Last updated

Nov 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ST VINCENT HOSPITAL AND HEALTH CARE CENTER INCAs reported in NPPES

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

Authorized official

Name

Kevin McAndrews

Title

Vice President

Phone

(317) 583-3194

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Vincent Pediatric Subspecialties

  • Pediatric Critical Care Medicine Physician
  • Evansville, IN
  • NPI 1851950224

  O20050214000627

  Same enrollment

Part of

St Vincent Hospital and Health Care Center Inc

Locations

Practitioners 364

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Alkhatib

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1609404441
  Medicare reassignment Care Compare group NPD
• Kelly Joann Barton, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1851950729
  Medicare reassignment Care Compare group NPD
• Margaret Burke, FNP-C

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
  • NPI 1144049545
  Medicare reassignment Care Compare group NPD
• Loraine Ruth Condrey, APRN

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
  • NPI 1043622533
  Medicare reassignment Care Compare group NPD
• Rachel Kochert Dunn, MD

  • Pediatric Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1649569419

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Monica Vermani Durr, APRN

  • Pediatric Nurse Practitioner
  • Indianapolis, IN
  • NPI 1538667076
  Medicare reassignment Care Compare group NPD
• Luis Fernando Escobar, MD

  • Clinical Genetics (M.D.) Physician
  • Indianapolis, IN
  • NPI 1053396135

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Jessica F Goodman, MD

  • Pediatric Hematology & Oncology Physician
  • Indianapolis, IN
  • NPI 1831112093

  Pediatric Hematology-Oncology

  Medicare reassignment Care Compare group NPD
• Jessica Nell Green, MD

  • Pediatric Neurodevelopmental Disabilities Physician
  • Indianapolis, IN
  • NPI 1578604773

  Pediatrics

  Medicare reassignment Care Compare group NPD
• Brooke Katherine Greene, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1013593680
  Medicare reassignment Care Compare group NPD
• Ronda Alazan Hamaker, MD

  • Pediatric Otolaryngology Physician
  • Indianapolis, IN
  • NPI 1174572184
  Medicare reassignment Care Compare group NPD
• Jill McCaulley, M.D.

  • Maternal & Fetal Medicine Physician
  • Indianapolis, IN
  • NPI 1669607388
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1013967736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "SUITE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601902",
            "telephone_number": "317-338-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT PEDIATRIC SUBSPECIALTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MCANDREWS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-583-3194"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "050050751",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Vincent Hospital & Health Care Center Inc (Ascension St. Vincent Primary Care Center Pharmacy)
• St Vincent Hospital & Health Care Center Inc (St Vincent Hospice Pharmacy)
• St Vincent Hospital and Health Care Center Inc
• St Vincent Medical Group Inc
• St Vincent Medical Group, Inc
• St Vincent Physician Services Hospital and Health Care Center
• St Vincent Physician Services Hospital and Health Care Center
• St Vincent Physician Services Hospital and Health Care Center
• Maria A St. Clair
• Shelly St. Clair

• Pediatrics Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.