Active NPI
St Margaret Mercy Healthcare Centers, Inc.
Doing business as St Margaret Mercy Medical Associates OBGYN
- Obstetrics & Gynecology Physician
- Hammond, IN
National Provider Identifier
1073685970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- ST MARGARET MERCY HEALTHCARE CENTERS, INC.
- Doing business as
- St Margaret Mercy Medical Associates OBGYN
- Practice address
- 5454 S Hohman Ave
Hammond, IN 46320-1931 - Phone
- (219) 933-2229
- Fax
- (219) 933-2614
- NPI assigned
- Nov 15, 2006
- Last updated
- Jan 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Gryzbek
- Title
- President
- Phone
- (219) 932-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
5454 S Hohman Ave
Hammond, IN 46320-1931
Mailing address
PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 200159110P | Medicaid | IN |
Other names 1
- St Margaret Mercy Medical Associates OBGYN
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 15
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.
-
- Pediatrics Physician
- Hammond, IN
- NPI 1912995820
-
- Neonatal-Perinatal Medicine Physician
- Hammond, IN
- NPI 1497742092
-
- Family Medicine Physician
- Dyer, IN
- NPI 1689666240
-
- Family Medicine Physician
- Hammond, IN
- NPI 1508858069
-
- Family Medicine Physician
- Dyer, IN
- NPI 1194718957
-
- Pediatrics Physician
- Dyer, IN
- NPI 1124010970
-
- Neonatal-Perinatal Medicine Physician
- Crown Point, IN
- NPI 1508853102
-
- Pediatrics Physician
- Munster, IN
- NPI 1750373189
-
- Surgery Physician
- Dyer, IN
- NPI 1972595361
-
- Family Medicine Physician
- Lowell, IN
- NPI 1245222090
-
- Family Medicine Physician
- Hammond, IN
- NPI 1356333082
-
- Obstetrics & Gynecology Physician
- Hammond, IN
- NPI 1063404812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1073685970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "DYER",
"state": "IN",
"postal_code": "463110800",
"telephone_number": "219-864-2107",
"fax_number": "219-864-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 S HOHMAN AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201931",
"telephone_number": "219-933-2229",
"fax_number": "219-933-2614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARGARET MERCY HEALTHCARE CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "GRYZBEK",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-932-2300"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0090000854",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200159110P",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Margaret Mercy Medical Associates OBGYN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hammond, IN
- St Margaret Mercy Healthcare Centers (Wound Healing & Prevention Institute)
- St Margaret Mercy Healthcare Centers (The Spine Clinic)
- St Margaret Mercy Healthcare Centers (St Margaret Mercy Behavioral Health Outpatient Centers)
- St Margaret Mercy Healthcare Centers (Orthopedic Clinic)
- St Margaret Mercy Healthcare Centers Inc (St Margaret Mercy Inpatient Specialist)
- St Margaret Mercy Healthcare Centers, Inc. (St Margaret Mercy Children's Group North)
- St Margaret Mercy Healthcare Centers, Inc. (Woodmar Clinic)
- St Margaret Mercy Healthcare Centers, Inc. (Hammond Family Services)
- St Margaret Mercy Healthcare Centrs, Inc. (Woodmar Pediatric Clinic)
- St. Joseph Home for Boys, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.