St Mary Medical Center Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ST MARY MEDICAL CENTER INC

Practice address

10607 Randolph St
Ste C
Crown Point, IN 46307-7505

Phone

(219) 663-1841

Fax

(219) 663-1846

NPI assigned

Sep 23, 2009

Organization subpart

Yes

Parent organization

ST MARYS MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Janice Ryba

Title

Ceo

Phone

(219) 942-0551

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Innovative Womens Health Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175

  O20040603000490

  Same enrollment
• St. Mary Medical Center

  • Internal Medicine Physician
  • Highland, IN
  • NPI 1700921541

  O20040603000490

  Same enrollment
• St. Mary Medical Center

  • Certified Registered Nurse Anesthetist
  • Hobart, IN
  • NPI 1952458564

  O20040603000490

  Same enrollment
• St. Mary Medical Center Inc

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1598839730

  O20040603000490

  Same enrollment

Part of

Ancilla Health Services

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1306170477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVE",
            "city": "ST JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-226-2203",
            "fax_number": "219-226-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 RANDOLPH ST",
            "address_2": "STE C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077505",
            "telephone_number": "219-663-1841",
            "fax_number": "219-663-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST MARYS MEDICAL CENTER INC",
        "enumeration_date": "2009-09-23",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "RYBA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-942-0551"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200966140A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200966140B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Womens Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittany Ann Springfield
• Regina Springstead, NP
• Kristijan Srbinoski
• St Anthony Medical Center
• St Anthony Medical Center
• St. Anthony Health Network, LLC
• St. Anthony Medical Center Care Coordination
• Peter Stafford, P.T.
• Joyce Stamiris, FNP-BC
• Aurora Star

• Obstetrics & Gynecology Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• 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.

Verify at the official NPI Registry.