St Mary's Breast Center, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ST MARY'S BREAST CENTER, LLC

Practice address

100 St Marys Epworth Xing
Ste. A500
Newburgh, IN 47630-9698

Phone

(812) 485-4437

Fax

(812) 485-6890

NPI assigned

Oct 20, 2005

Last updated

Mar 26, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

SETON HEALTHAs reported in NPPES

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

Authorized official

Name

Kathy J Hall

Title

Manager

Phone

(812) 471-1591

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1073502290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477010138",
            "telephone_number": "812-471-1591",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ST MARYS EPWORTH XING",
            "address_2": "STE. A500",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309698",
            "telephone_number": "812-485-4437",
            "fax_number": "812-485-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S BREAST CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SETON HEALTH",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-471-1591"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100468730",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100138240",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily J E Spinner, COTA
• Melva Emily Spray, FNP
• Ellie Springer, RBT
• Sarah E. Spurling, PH.D.
• Sridhar Bhaskara MD LLC
• St Mary's Health Inc (St Vincent Evansville Cancer Genetics)
• St Marys Health Inc (Ascension St. Vincent Epworth Pharmacy)
• St Marys Health Inc (Ascension St. Vincent Evansville Breast Center)
• St Marys Health Inc (Ascension St. Vincent Evansville)
• St Marys Health Inc (Ascension St. Vincent Warrick EMS)

• Diagnostic Radiology Physician in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.