St Clare Health Network

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ST CLARE HEALTH NETWORK

Practice address

1630 Lafayette Rd
Suite 200
Crawfordsville, IN 47933-1090

Phone

(765) 364-9720

Fax

(765) 364-9740

NPI assigned

Nov 13, 2006

Organization subpart

Yes

Parent organization

ST. CLARE MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Jim Siemers

Title

Executive Director

Phone

(765) 362-3100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Crawfordsville Obstetrics and Gynecology Doing business as

Part of

St Clare Medical Center

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1447321997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331033",
            "telephone_number": "765-364-9720",
            "fax_number": "765-364-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 LAFAYETTE RD",
            "address_2": "SUITE 200",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331090",
            "telephone_number": "765-364-9720",
            "fax_number": "765-364-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARE HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. CLARE MEDICAL CENTER",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "SIEMERS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-362-3100"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000386762",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200214400B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawfordsville Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda V Spencer, M.D.
• Rebecca D Sprague, LCSW
• Elizabeth Spurgeon, RBT
• Nichole Spurr, RBT
• St Clare Health Network
• St Clare Health Network
• St Clare Health Network
• St Clare Health Network
• St Clare Medical Center
• St. Clare Medical Center

• All providers in Crawfordsville, IN
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.