St. Vincent Madison County Health System, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.

Practice address

1448 S a St
Elwood, IN 46036-1903

Phone

(765) 552-4611

NPI assigned

May 25, 2006

Last updated

Oct 15, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.As reported in NPPES

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

Authorized official

Name

D. Bruce Haga

Title

Vice President

Phone

(317) 583-3087

Specialties & licenses 10

Addresses

Other names 1

• Alexandria MA, Mercy FP, Mercy IM, Mercy Stress Center Other name

Part of

Mercy Hospital Inc

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1144276122",
    "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": "1448 S A ST",
            "city": "ELWOOD",
            "state": "IN",
            "postal_code": "460361903",
            "telephone_number": "765-552-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT MADISON COUNTY HEALTH SYSTEM, INC.",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "HAGA",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-583-3087"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexandria MA, Mercy FP, Mercy IM, Mercy Stress Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melanie J Smith-Sanders, BS
• Carolyn P Smith, LMHC
• Gail L Smith, LCSW LMFT LCAC ACSW
• Mina Soliman
• St. Vincent Madison County Health System, Inc (St. Vincent Mercy Hospital)
• St. Vincent Madison County Health System, Inc.
• St. Vincent Madison County Health System, Inc. (St. Vincent Mercy Hospital (Swing Bed Program))
• St. Vincent Medical Group, Inc.
• Megan Stowers
• Jessica Tharp, M.S.,P.T.

• Family Medicine Physician in Elwood, IN
• Providers in Elwood, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.