Active NPI
St. Mary'S Physicians' Health Group, LLC
- Geriatric Medicine (Internal Medicine) Physician
- Evansville, IN
National Provider Identifier
1578724969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC
- Practice address
- 3801 Bellemeade Ave
Suite 200-E
Evansville, IN 47714-0100 - Phone
- (812) 485-1780
- NPI assigned
- Jun 19, 2008
- 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
- Karen Keil
- Title
- Operations Manager
- Phone
- (812) 485-1827
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary | ||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
3801 Bellemeade Ave
Suite 200-E
Evansville, IN 47714-0100
Mailing address
3801 Bellemeade Ave
Suite 200-E
Evansville, IN 47714-0100
Phone (812) 485-1780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200903430A | Medicaid | IN |
Other names 1
- Karl W. Sash, M.D.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315785600000",
"number": "1578724969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 BELLEMEADE AVE",
"address_2": "SUITE 200-E",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140100",
"telephone_number": "812-485-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 BELLEMEADE AVE",
"address_2": "SUITE 200-E",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140100",
"telephone_number": "812-485-1780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-19",
"last_updated": "2011-09-12",
"status": "A",
"authorized_official_last_name": "KEIL",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "812-485-1827"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200903430A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Karl W. Sash, M.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evansville, IN
- St. Mary'S Medical Center of Evansville
- St. Mary'S Physician Network LLC.
- St. Mary'S Physicians' Health Group, LLC
- St. Mary'S Physicians' Health Group, LLC
- St. Mary'S Physicians' Health Group, LLC
- St. Mary'S Physicians' Health Group, LLC
- St. Mary'S Physicians' Health Group, LLC
- Katherine V St. Pere, OTR
- St. Vincent Health Wellness and Preventive Care Institute, Inc.
- Connie Stachowski, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.