NPIMap

Organization Active NPI

St. Margaret Mercy Healthcare Centers

Doing business as St. Margaret Mercy Anesthesia Group

  • Anesthesiology Physician
  • Hammond, IN
National Provider Identifier
1528082906
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST. MARGARET MERCY HEALTHCARE CENTERS
Doing business as
St. Margaret Mercy Anesthesia Group
Practice address
5454 S Hohman Ave
St. Margaret Mercy Healthcare
Hammond, IN 46320-1931
Phone
(219) 864-2109
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Broda
Title
Controller
Phone
(219) 864-2109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5454 S Hohman Ave
St. Margaret Mercy Healthcare
Hammond, IN 46320-1931

Mailing address

520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542

Other names 1

  • St. Margaret Mercy Anesthesia Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dyer Family Practice17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528082906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542",
            "fax_number": "630-874-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 S HOHMAN AVE",
            "address_2": "ST. MARGARET MERCY HEALTHCARE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-864-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARGARET MERCY HEALTHCARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRODA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "219-864-2109"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Margaret Mercy Anesthesia Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.