Organization Active NPI

Saint John Health System

  • Family Medicine Physician
  • Anderson, IN
National Provider Identifier
1548478902
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.