Active NPI
St. Vincent Anderson Regional Hospital, Inc.
Doing business as Ascension St. Vincent Anderson
- Hospice and Palliative Medicine (Family Medicine) Physician
- Anderson, IN
National Provider Identifier
1144573601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.
- Doing business as
- Ascension St. Vincent Anderson
- Practice address
- 2015 Jackson St
Anderson, IN 46016-4337 - Phone
- (765) 646-8243
- NPI assigned
- Oct 22, 2012
- Last updated
- Jun 29, 2020
- 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
- Laura Adams
- Title
- Vice President
- Phone
- (765) 646-8132
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Anesthesiology) Physician | 207LH0002X | NU | ||
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | NU | ||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | NU | Primary | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | NU | ||
| Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 207VH0002X | NU | ||
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | NU | ||
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | NU | ||
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | 2084H0002X | NU |
Addresses
Primary practice location
2015 Jackson St
Anderson, IN 46016-4337
Mailing address
10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024
Other names 1
- Ascension St. Vincent Anderson
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Anderson, IN
- NPI 1952582504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593388800000",
"number": "1144573601",
"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": "2015 JACKSON ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164337",
"telephone_number": "765-646-8243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-22",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "765-646-8132"
},
"taxonomies": [
{
"code": "207LH0002X",
"taxonomy_group": "",
"desc": "Anesthesiology, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VH0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2081H0002X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084H0002X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ascension St. Vincent Anderson",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anderson, IN
- Bridget Lee Spinner-Baker
- Tara Lynn Spivey, MD
- Jennifer Lynn Springfield, RBT
- Tabitha Joan Springfield, RBT
- Julia Anne St Clair, NP
- St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
- St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
- St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
- St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
- St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.