Active NPI
St Francis Medical Group
- Internal Medicine Physician
- Greenwood, IN
National Provider Identifier
1457633562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ST FRANCIS MEDICAL GROUP
- Practice address
- 1040 Sierra Dr
Greenwood, IN 46143-7240 - Phone
- (317) 780-3333
- Fax
- (317) 780-3345
- NPI assigned
- Sep 14, 2011
- 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
- Ms. Mary Benjamin
- Title
- Administrator
- Phone
- (317) 893-1860
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IN | ||
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | IN | ||
| Internal Medicine Physician | 207R00000X | IN | Primary | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | IN | ||
| Infectious Disease Physician | 207RI0200X | IN | ||
| Pulmonary Disease Physician | 207RP1001X | IN | ||
| Rheumatology Physician | 207RR0500X | IN | ||
| Hospitalist Physician | 208M00000X | IN |
Addresses
Primary practice location
1040 Sierra Dr
Greenwood, IN 46143-7240
Mailing address
PO Box 664050
Indianapolis, IN 46266-4056
Phone (317) 780-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100268070A | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- St Francis Medical Group
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hematology & Oncology Physician
- Indianapolis, IN
- NPI 1043425846
-
- Internal Medicine Physician
- Monroe, LA
- NPI 1134405087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523577600000",
"number": "1457633562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 664050",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462664056",
"telephone_number": "317-780-3333",
"fax_number": "317-780-3345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 SIERRA DR",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461437240",
"telephone_number": "317-780-3333",
"fax_number": "317-780-3345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-14",
"last_updated": "2018-04-13",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "317-893-1860",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "207QS1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sleep Medicine",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IN",
"license": null,
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "IN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100268070A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.