Active NPI
Saint John Health System
- Obstetrics & Gynecology Physician
- Anderson, IN
National Provider Identifier
1457360356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SAINT JOHN HEALTH SYSTEM
- Practice address
- 2020 Meridian St
Suite 220
Anderson, IN 46016-4346 - Phone
- (765) 683-3280
- Fax
- (765) 683-3131
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- D. Bruce Haga
- Title
- Vice President
- Phone
- (317) 583-3087
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Gynecology Physician | 207VG0400X | |||
| Obstetrics Physician | 207VX0000X |
Addresses
Primary practice location
2020 Meridian St
Suite 220
Anderson, IN 46016-4346
Mailing address
10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024
Other names 1
- Women's Health Specialists
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1457360356",
"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",
"address_2": "SUITE 220",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164346",
"telephone_number": "765-683-3280",
"fax_number": "765-683-3131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOHN HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "HAGA",
"authorized_official_first_name": "D.",
"authorized_official_middle_name": "BRUCE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "317-583-3087"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Women's Health Specialists",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.