St Margaret Mercy Healthcare Centers

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ST MARGARET MERCY HEALTHCARE CENTERS

Practice address

24 Joliet St
Unit 302
Dyer, IN 46311-1705

Phone

(219) 852-2518

Fax

(219) 864-2156

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Gryzbek

Title

President

Phone

(219) 932-2300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Midwest Bariatric Institute@ Saint Margaret Mercy Doing business as

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1487726378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463110800",
            "telephone_number": "219-864-2107",
            "fax_number": "219-864-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JOLIET ST",
            "address_2": "UNIT 302",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111705",
            "telephone_number": "219-852-2518",
            "fax_number": "219-864-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARGARET MERCY HEALTHCARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "GRYZBEK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-932-2300"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "90000854",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Bariatric Institute@ Saint Margaret Mercy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Sohl
• Cyrus D Solhkhah, M.D.
• Emma Sorrentino
• Willard C. Spurlock
• St Margaret Mercy Healthcare Centers
• St Margaret Mercy Healthcare Centers
• St Margaret Mercy Healthcare Centers
• St Margaret Mercy Healthcare Centers
• St Margaret Mercy Healthcare Centers Inc
• St Margaret Mercy Healthcare Centers Inc

• Surgery Physician in Dyer, IN
• Providers in Dyer, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.