St. Vincent Anderson Regional Hospital, Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.

Doing business as

Ascension St. Vincent Anderson

Practice address

2020 Meridian St
Anderson, IN 46016-4346

Phone

(765) 646-8570

NPI assigned

Oct 11, 2012

Last updated

Jun 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Becky Jacobson

Title

Vice President of Finance

Phone

(317) 582-7219

Specialties & licenses 7

Addresses

Other names 1

• Ascension St. Vincent Anderson Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• St. Vincent Anderson Regional Hospital, Inc.

  • Psychiatry Physician
  • Anderson, IN
  • NPI 1659624179

  O20130315000415

  Same enrollment

Practitioners 4

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.

• Susan C. Franks, LCSW

  • Clinical Social Worker
  • Anderson, IN
  • NPI 1508124520
  NPD
• Hazim Rimawi, MD

  • Medical Oncology Physician
  • Muncie, IN
  • NPI 1215905773

  Hematology & Oncology

  NPD
• Ubaidullah Sharief, MD

  • Hematology & Oncology Physician
  • Anderson, IN
  • NPI 1053348326

  Internal Medicine

  NPD
• Andrew O Skinner, MD

  • Psychiatry Physician
  • Anderson, IN
  • NPI 1578594826
  NPD

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1427300771",
    "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": "2020 MERIDIAN ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164346",
            "telephone_number": "765-646-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "317-582-7219"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension St. Vincent Anderson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabitha Joan Springfield, RBT
• Julia Anne St Clair, NP
• St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
• St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
• St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
• St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
• St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
• St. Vincent Anderson Regional Hospital, Inc.
• St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)
• St. Vincent Anderson Regional Hospital, Inc. (Ascension St. Vincent Anderson)

• Hematology & Oncology Physician in Anderson, IN
• Providers in Anderson, IN by specialty
• Hematology & Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.