Active NPI
St Catherine Hospital Inc
- Otolaryngology Physician
- East Chicago, IN
National Provider Identifier
1184948432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- ST CATHERINE HOSPITAL INC
- Practice address
- 4320 Fir St
Ste 210
East Chicago, IN 46312-3052 - Phone
- (219) 392-7665
- Fax
- (219) 392-7993
- NPI assigned
- Mar 16, 2010
- Organization subpart
- Yes
- Parent organization
- ST CATHERINE HOSPITAL INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leobardo Correa
- Title
- Ceo
- Phone
- (219) 392-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
4320 Fir St
Ste 210
East Chicago, IN 46312-3052
Mailing address
4320 Fir St
Ste 210
East Chicago, IN 46312-3052
Phone (219) 392-7665
Other names 1
- EAR NOSE THROAT SPECIALISTS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000149 | IN | Part B Supplier - Clinic/Group Practice | 1052225604 |
Receives reassigned benefits from 76 practitioners 9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: East Chicago, IN |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1396847596
O20031118000149
-
- Orthopaedic Surgery Physician
- East Chicago, IN
- NPI 1316172646
O20031118000149
National Provider Directory
National Provider Directory- Part of
- Lakeshore Health System
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720656000000",
"number": "1184948432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 FIR ST",
"address_2": "STE 210",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123052",
"telephone_number": "219-392-7665",
"fax_number": "219-392-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 FIR ST",
"address_2": "STE 210",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123052",
"telephone_number": "219-392-7665",
"fax_number": "219-392-7993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST CATHERINE HOSPITAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST CATHERINE HOSPITAL INC",
"enumeration_date": "2010-03-16",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A",
"authorized_official_last_name": "CORREA",
"authorized_official_first_name": "LEOBARDO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "219-392-1700"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EAR NOSE THROAT SPECIALISTS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in East Chicago, IN
- Southlake Community Mental Health Center, Inc
- Scarlet Rae Spain, MSN, FNP-BC
- Bridgette Leora Spann Edwards, LCSW, LCAC
- Spine & Musculoskeletal Center PC
- Joseph Phillip Spott, D.O.
- St Catherine Hospital Inc
- St Catherine Hospital Inc
- St Catherine Hospital Inc
- St Catherine Hospital Inc
- St Catherine Hospital Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.