St. Vincent Physician Services Hospital and Health Care Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST. VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER

Practice address

8414 Naab Rd
Indianapolis, IN 46260-1972

Phone

(317) 338-7510

NPI assigned

Mar 17, 2011

Last updated

Oct 1, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. VINCENT HEALTHAs reported in NPPES

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

Authorized official

Name

Kyle Defur

Title

President

Phone

(317) 338-7031

Specialties & licenses 4

Addresses

Part of

St Vincent Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Vincent Hospital & Health Care Center, Inc.

  dba Ascension St. Vincent Stress Center

  • Psychiatric Hospital Unit
  • Indianapolis, IN
  • NPI 1003866740

  Member Of

  NPD member

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1558660464",
    "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": "8414 NAAB RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601972",
            "telephone_number": "317-338-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT PHYSICIAN SERVICES HOSPITAL AND HEALTH CARE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT HEALTH",
        "enumeration_date": "2011-03-17",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "DEFUR",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-338-7031"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Pediatric Rehabilitation Center, Inc.
• St. Vincent Physician Services Hospital and Health Care Center
• St. Vincent Physician Services Hospital and Health Care Center
• St. Vincent Seton Specialty Hospital, Inc.
• St. Vincent Seton Specialty Hospital, Inc. (Ascension St. Vincent Seton Specialty Hospital)
• St. Vincent Women's Health Boutique

• Family Medicine Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.