Active NPI
St. Vincent Hospital and Health Care Center, Inc.
- Pediatric Gastroenterology Physician
- Indianapolis, IN
National Provider Identifier
1316205495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- Legal business name
- ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
- Practice address
- 8402 Harcourt Rd
Suite 402
Indianapolis, IN 46260-2074 - Phone
- (317) 338-9450
- NPI assigned
- Apr 26, 2012
- Organization subpart
- Yes
- Parent organization
- ST. VINCENT HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin McAndrews
- Title
- System Executive Revenue Cycle
- Phone
- (317) 583-3194
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | Primary |
Addresses
Primary practice location
8402 Harcourt Rd
Suite 402
Indianapolis, IN 46260-2074
Mailing address
10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200901000I | Medicaid | IN |
Other names 1
- ST. VINCENT PEDIATRIC SUBSPECIALTIES
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D1015590 | St Vincent Pediatric Subspecialties | Provider-performed microscopy | Aug 10, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- St Vincent Hospital and Health Care Center Inc
- Part of
- St Vincent Hospital
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
-
- Clinic/Center
- Zionsville, IN
- NPI 1669442802
-
- Neonatal-Perinatal Medicine Physician
- Fort Wayne, IN
- NPI 1023203239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335398400000",
"number": "1316205495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 N MERIDIAN ST",
"address_2": "SUITE 201",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8402 HARCOURT RD",
"address_2": "SUITE 402",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602074",
"telephone_number": "317-338-9450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. VINCENT HEALTH",
"enumeration_date": "2012-04-26",
"last_updated": "2012-04-26",
"status": "A",
"authorized_official_last_name": "MCANDREWS",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "SYSTEM EXECUTIVE REVENUE CYCLE",
"authorized_official_telephone_number": "317-583-3194"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200901000I",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ST. VINCENT PEDIATRIC SUBSPECIALTIES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indianapolis, IN
- St. Vincent Hospital & Health Care Center, Inc.
- St. Vincent Hospital & Health Care Center, Inc.
- St. Vincent Hospital & Health Care Center, Inc.
- St. Vincent Hospital and Health Care Center, Inc.
- St. Vincent Hospital and Health Care Center, Inc.
- St. Vincent Hospital and Health Care Center, Inc.
- St. Vincent Hospital and Healthcare Centers, Inc.
- St. Vincent Hospital Foundation Inc.
- St. Vincent Medical Group, Inc.
- St. Vincent Medical Group, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.