St. Mary'S Health, Inc
Organization Active NPI Internal Medicine Physician · Evansville, IN
NPI 1497706287 · NPPES record last updated Sep 30, 2021
Key facts
- NPI
- 1497706287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ST. MARY'S HEALTH, INC
- Practice address
- 3700 Washington Ave
Evansville, IN 47750-0001 - Phone
- (812) 485-4000
- NPI assigned
- May 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian Morris
- Title
- Cfo
- Phone
- (317) 338-6234
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 10
Practitioners 300
-
Nosher Ali, MD
-
Joseph Amos, FNP
-
Maghan C Bretz, PT
-
Leslie Rae Pike Brown, M.D.
-
James Thomas Andrew Butler, MB MRCP
-
Vivian C Cook, M.D.
-
Sara Sue Coomes, PT
-
Caroline Coughlin, APRN
-
David B Curtis, M.D.
-
Haley Elpers, DPT
-
Dusky Rideout Farmer, D.P.M.
-
Devon Fetters, MD
-
Robert D Ficalora, M.D.
-
Kylen Matthew Gray, PT, DPT
-
Kristin Denise Hannebauer, RN, AGACNP-BC
-
Javier A Jurado, M.D.
-
Megan Renee Lin, M.A., CF-SLP
-
Christopher Mann, OTR
-
Colin Patrick Martyn, M.D.
-
Shanie Maurer, OT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031124000522 | IN | Part B Supplier - Clinic/Group Practice | 9133023898 |
Receives reassigned benefits from 74 practitioners 6 other NPIs on this enrollment Practice locations: Newburgh, IN; Evansville, IN |
National Provider Directory
Locations (25 of 67)
5927 Reliable Pkwy
Chicago, IL 60686
3277 Liberty Blvd
Boonville, IN 47601
1116 Millis Ave
Ste 201
Boonville, IN 47601
Phone (812) 897-7408
3277 Liberty Blvd
Ste Aeva
Boonville, IN 47601
1116 Millis Ave
Ste 101A
Boonville, IN 47601
1116 Millis Ave
Ste 110
Boonville, IN 47601
3700 Washington Ave
#1300
Evansville, IN 47714
Phone (812) 485-7112
3900 Washington Ave
#100A
Evansville, IN 47714
Phone (812) 485-7240
14020 Old State Rd
Ste 200
Evansville, IN 47725
1312 Professional Blvd
#201
Evansville, IN 47714
Phone (812) 476-7523
3700 Washington Ave
Ste 2110A
Evansville, IN 47714
5320 Weston Rd
#B
Evansville, IN 47712
Phone 81247772461017
3700 Washington Ave
Ste 1100A
Evansville, IN 47714
3801 Bellemeade Ave
Ste 20B
Evansville, IN 47714
100 S Rosenberger Ave
Ste A400
Evansville, IN 47712
3900 Washington Ave
Ste 100A
Evansville, IN 47714
Phone (812) 485-7240
14020 Old State Rd
Ste 300
Evansville, IN 47725
3801 Bellemeade Ave
Ste 2003
Evansville, IN 47714
100 S Rosenberger Ave
#A20
Evansville, IN 47712
14020 Old State Rd
Ste 100
Evansville, IN 47725
Phone (812) 469-4765
3801 Bellemeade Ave
Ste 200
Evansville, IN 47714
Phone (812) 477-1525
14020 Old State Rd
Ste C100
Evansville, IN 47725
Phone (812) 469-4745
14020 Old State Rd
Ste 500
Evansville, IN 47725
801 Saint Marys Dr
Ste 505
Evansville, IN 47714
Phone (812) 491-3236
3801 Bellemeade Ave
Ste 11A
Evansville, IN 47714
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | |||
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Pediatrics Physician |
208000000X | |||
| Neonatal-Perinatal Medicine Physician |
2080N0001X | |||
| Pediatric Pulmonology Physician |
2080P0214X | |||
| Neurology Physician |
2084N0400X | |||
| Neurology with Special Qualifications in Child Neurology Physician |
2084N0402X | |||
| Psychiatry Physician |
2084P0800X | |||
| Surgery Physician |
208600000X | |||
| Urology Physician |
208800000X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Pediatric Nurse Practitioner |
363LP0200X |
Addresses
Primary practice location
3700 Washington Ave
Evansville, IN 47750-0001
Mailing address
PO Box 13058
Belfast, ME 04915-4021
Phone (317) 583-3022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65944266 | Other | IN | KENTUCKY MEDICAID GROUP # |
| 100180890 | Medicaid | IN | |
| 7100099370 | Medicaid | KY |
Other names
- Ascension St. Vincent Evansville
- St. Vincent Evansville Medical Center
Other providers in Evansville, IN
- St. Mary'S Freestanding Cath Lab LLC
- St. Mary'S Health Inc
- St. Mary'S Health, Inc
- St. Mary'S Health, Inc
- St. Mary'S Health, Inc
- St. Mary'S Health, Inc
- St. Mary'S Health, Inc
- St. Mary'S Health, Inc
- St. Mary'S Health, Inc.
- St. Mary'S Health, Inc.
All providers in Evansville, IN · Internal Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.