NPIMap

Organization Active NPI

St. Mary's Physicians' Health Group, LLC

Doing business as Haubstadt Family Medicine

  • Family Medicine Physician
  • Haubstadt, IN
National Provider Identifier
1306130109
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC
Doing business as
Haubstadt Family Medicine
Practice address
835 South 9TH Ave
Haubstadt, IN 47639-0370
Phone
(812) 485-1827
NPI assigned
Jun 9, 2011
Last updated
Sep 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Gerald F. Vozel
Title
VP
Phone
(812) 485-1827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

835 South 9TH Ave
Haubstadt, IN 47639-0370

Mailing address

835 South 9TH Ave
Haubstadt, IN 47639-0370
Phone (812) 485-1827

Other names 1

  • Haubstadt Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

835 S 9th Ave
Haubstadt, IN 47639
Phone (812) 464-3016

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1306130109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 SOUTH 9TH AVE",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476390370",
            "telephone_number": "812-485-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SOUTH 9TH AVE",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476390370",
            "telephone_number": "812-485-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "VOZEL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "812-485-1827"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haubstadt Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haubstadt, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.