Saint John'S Health System
Organization Active NPI Pediatrics Physician · Anderson, IN
NPI 1417065764 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1417065764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- SAINT JOHN'S HEALTH SYSTEM
- Practice address
- 15 W 19TH St
Anderson, IN 46016-4306 - Phone
- (765) 646-8299
- Fax
- (765) 646-8672
- NPI assigned
- Aug 28, 2006
- Organization subpart
- No
Authorized official
- Name
- James W Moore
- Title
- Executive Vice President
- Phone
- (765) 646-8105
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Patrick M McGill MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
15 W 19TH St
Anderson, IN 46016-4306
Mailing address
15 W 19TH St
Anderson, IN 46016-4306
Phone (765) 646-8299
Other names
- Children's Clinic
Other providers in Anderson, IN
- Saint John Health System
- Saint John Health System
- Saint John Health System
- Saint John Health System
- Saint John Health System
- Saint John'S Health System
- Saint Johns Health System
- Saint Johns Health System
- Lauren Saloh
- Sarah J Sampson
All providers in Anderson, IN · Pediatrics Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.