St.Vincent Madison County Health System

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ST.VINCENT MADISON COUNTY HEALTH SYSTEM

Doing business as

Saint John's Medical Supplies

Practice address

13914 State Road 238 E
Room 300
Fishers, IN 46037-5506

Phone

(317) 415-9106

Fax

(765) 646-8625

NPI assigned

Feb 18, 2009

Organization subpart

Yes

Parent organization

ST.VINCENT MADISON COUNTY HEALTH SYSTEMAs reported in NPPES

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

Authorized official

Name

Mr. Dante O Phillips

Title

DME Consultant

Phone

(765) 683-3201

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saint John's Medical Supplies Doing business as

Part of

Patrick M McGill MD

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1598904351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 MERIDIAN ST",
            "address_2": "SUITE 180",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164346",
            "telephone_number": "765-683-3201",
            "fax_number": "765-646-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13914 STATE ROAD 238 E",
            "address_2": "ROOM 300",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460375506",
            "telephone_number": "317-415-9106",
            "fax_number": "765-646-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.VINCENT MADISON COUNTY HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST.VINCENT MADISON COUNTY HEALTH SYSTEM",
        "enumeration_date": "2009-02-18",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DME CONSULTANT",
        "authorized_official_telephone_number": "765-683-3201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200408950A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint John's Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Vincent Anderson Regional Hospital, Inc.
• St. Vincent Hospital
• St. Vincent Medical Group, Inc.
• St. Vincent Medical Group, Inc.
• St. Vincent Physician Network, LLC
• Tricia J. Stadler, NP
• Stand Look Ask Walk LLC
• Abigail Frances Stanley
• Kathryn Stanley
• Nekia Stanley

• Oxygen Equipment & Supplies (DME) in Fishers, IN
• Providers in Fishers, IN by specialty
• Oxygen Equipment & Supplies (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.