Saint Charles Surgical Pavilion Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SAINT CHARLES SURGICAL PAVILION INC

Practice address

1900 Saint Charles St
Jasper, IN 47546-9145

Phone

(812) 634-1211

Fax

(812) 634-9762

NPI assigned

Oct 26, 2006

Last updated

Jan 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Randall G Norris, MDNPI 1447211321

Title

Owner/Ceo

Phone

(812) 634-1211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Saint Charles Surgical Pavilion Inc

  • Certified Registered Nurse Anesthetist
  • Jasper, IN
  • NPI 1952486862

  O20040220000838

  Same enrollment

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.

• Randall Gene Norris, MD

  • Orthopaedic Surgery Physician
  • Jasper, IN
  • NPI 1447211321
  Authorized official Same address or phone

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1295810109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SAINT CHARLES ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469145",
            "telephone_number": "812-634-1211",
            "fax_number": "812-634-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SAINT CHARLES ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469145",
            "telephone_number": "812-634-1211",
            "fax_number": "812-634-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CHARLES SURGICAL PAVILION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "812-634-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Roy, COTA
• Paul Andrew Ruell, MSW, 99043894A
• Michael E Ruff, MD
• Tatyana Evalin Ruiz
• Aubrey Lynn Ruxer, MS
• Saint Charles Surgical Pavilion Inc
• Saint Charles Surgical Pavilion Inc
• Sarah Saladin
• Stephen Curry Sample, M.D.
• Melinda Sams, L.C.S.W.

• Anesthesiology Physician in Jasper, IN
• Providers in Jasper, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.

Verify at the official NPI Registry.