Active NPI
Saint John Health System
- Family Medicine Physician
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SAINT JOHN HEALTH SYSTEM
- Practice address
- 4925 S Scatterfield Rd
Anderson, IN 46013-2911 - Phone
- (765) 646-6331
- NPI assigned
- May 18, 2007
- Last updated
- Dec 18, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Rheumatology Physician | 207RR0500X | NU | ||
| Orthopaedic Surgery Physician | 207X00000X | NU |
Addresses
Primary practice location
4925 S Scatterfield Rd
Anderson, IN 46013-2911
Mailing address
10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024
Other names 1
- MedOne, Rea, McGill, Carrel
National Provider Directory
National Provider DirectoryLocations
1133 Reliable Pkwy
Chicago, IL 60686
1136 Reliable Pkwy
Chicago, IL 60686
1137 Reliable Pkwy
Chicago, IL 60686
1140 Reliable Pkwy
Chicago, IL 60686
1492 Reliable Pkwy
Chicago, IL 60686
3210 Reliable Pkwy
Chicago, IL 60686
2012 S Park Ave
Alexandria, IN 46001
Phone (765) 683-3107
141 W 22nd St
Ste 311
Anderson, IN 46016
Phone (765) 641-7100
2101 Jackson St
Ste 206
Anderson, IN 46016
Phone (765) 646-8523
350 Jh Walker Dr
#100
Pendleton, IN 46064
Phone (754) 778-7509
350 Jh Walker Dr
Ste 130
Pendleton, IN 46064
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Chesterfield, IN
- NPI 1770514929
-
- Internal Medicine Physician
- Anderson, IN
- NPI 1649289570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1548478902",
"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": "4925 S SCATTERFIELD RD",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460132911",
"telephone_number": "765-646-6331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAINT JOHN HEALTH SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2007-12-18",
"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": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedOne, Rea, McGill, Carrel",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anderson, IN
- Jennifer Mary Sagehorn, DPT, PT
- Saint John Health System
- Saint John Health System (Saint John's Medical Supplies)
- Saint John Health System
- Saint John Health System
- Saint John Health System
- Saint John's Health System (Children's Clinic)
- Saint John's Health System (Med One South Urgent Care Center)
- Saint Johns Health System (St Johns Health System DME)
- Saint Johns Health System
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.