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St. Vincent Medical Group, Inc.

Organization Active NPI Orthopaedic Surgery Physician · Frankfort, IN

NPI 1124377643 · NPPES record last updated Aug 30, 2012

Key facts

NPI
1124377643
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
ST. VINCENT MEDICAL GROUP, INC.
Practice address
1258 Oak St
Suite a
Frankfort, IN 46041-3377
Phone
(765) 656-3830
NPI assigned
Aug 30, 2012
Organization subpart
No

Authorized official

Name
Kevin McAndrews
Title
Vice President
Phone
(317) 583-3194

Corporate family (same tax ID) 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

National Provider Directory

Tax ID family
St Vincent Medical Group Inc (44 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X Yes

Addresses

Primary practice location

1258 Oak St
Suite a
Frankfort, IN 46041-3377

Mailing address

10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024

Other identifiers

IdentifierTypeStateIssuer
201060860HMedicaidIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 30, 2012.

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1124377643",
    "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": "1258 OAK ST",
            "address_2": "SUITE A",
            "city": "FRANKFORT",
            "state": "IN",
            "postal_code": "460413377",
            "telephone_number": "765-656-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "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": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201060860H",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IN

All providers in Frankfort, IN · Orthopaedic Surgery Physician in Indiana

Sources for this page

Verify at the official NPI Registry.