St. Vincents Sports Performance

Primary specialty

Special HospitalTaxonomy code 284300000X

License

36000279A Issued in IN

Legal business name

ST. VINCENTS SPORTS PERFORMANCE

Practice address

8227 Northwest Blvd
Suite 160
Indianapolis, IN 46278-1387

Phone

(317) 415-5795

NPI assigned

Aug 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Michael Timothy Sahm, ATC/LATNPI 1437407848

Title

Athletic Trainer

Phone

(317) 787-8277

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael T Sahm, ATC/LAT

  • Special Hospital
  • Indianapolis, IN
  • NPI 1437407848
  NPD (past) Authorized official

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1356698187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8227 NORTHWEST BLVD",
            "address_2": "SUITE 160",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 NORTHWEST BLVD",
            "address_2": "SUITE 160",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781387",
            "telephone_number": "317-415-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENTS SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "SAHM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "317-787-8277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC/LAT"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IN",
            "license": "36000279A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2255A2300X-SPECIALIST/TECHNOLOGIST- ATHLETIC TRAINER",
            "identifier": "36000279A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Vincent Physician Services Hospital and Health Care Center
• St. Vincent Physician Services Hospital and Health Care Center
• St. Vincent Seton Specialty Hospital, Inc.
• St. Vincent Seton Specialty Hospital, Inc. (Ascension St. Vincent Seton Specialty Hospital)
• St. Vincent Women's Health Boutique
• Allan Senador Sta. Rosa
• Emily Dianne Staab, MOTR
• Hannah Staats-Ciotola, MD
• Annemarie Stacey
• Madison Stacey, MD

• Special Hospital in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Special Hospital in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.