St Mary'S Medical Group, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

ST MARY'S MEDICAL GROUP, LLC

Practice address

3801 Bellemeade Ave Ste 110
Evansville, IN 47714-0111

Phone

(812) 485-7330

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

Daniel Parod

Title

Ceo

Phone

(812) 485-1502

Specialties & licenses 3

Addresses

Other names 1

• Ascension Medical Group St. Vincent Evansville Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

St Marys Physicians Health Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• St Mary'S Medical Group, LLC

  • Occupational Medicine Clinic/Center
  • Evansville, IN
  • NPI 1669939617
  NPD tax ID
• St Mary'S Medical Group, LLC

  • Cardiac Rehabilitation Registered Nurse
  • Evansville, IN
  • NPI 1750186656
  NPD tax ID
• St Marys Medical Group, LLC

  • Psychiatry Physician
  • Evansville, IN
  • NPI 1518361518
  NPD tax ID
• St Marys Medical Group, LLC

  • Clinical Psychologist
  • Evansville, IN
  • NPI 1952750606
  NPD tax ID

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1154933703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 96TH ST STE 520",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 110",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140111",
            "telephone_number": "812-485-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY'S MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "PAROD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-485-1502"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Medical Group St. Vincent Evansville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikita Srinivas, P.T.
• St Elizabeth Ann Seton Hospital
• Trinity St St Jean
• St Mary'S Medical Center of Evansville, Inc
• St Mary'S Medical Center of Evansville, Inc
• St Mary'S Medical Group, LLC
• St Mary'S Medical Group, LLC
• St Mary'S Medical Group, LLC
• St Mary'S Medical Group, LLC
• St Mary'S Ohio Valley Heart Care, LLC

• Foot & Ankle Surgery Podiatrist in Evansville, IN
• Providers in Evansville, IN by specialty
• Foot & Ankle Surgery Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.