NPIMap

Organization Active NPI

St Catherine Physician Services, LLC

  • Emergency Medicine Physician
  • Charlestown, IN
National Provider Identifier
1639352610
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01027298A Issued in IN
Legal business name
ST CATHERINE PHYSICIAN SERVICES, LLC
Practice address
2100 Market St.
Suite 100
Charlestown, IN 47111-9535
Phone
(812) 256-9714
Fax
(812) 256-9702
NPI assigned
Dec 12, 2007
Organization subpart
Yes
Parent organization
SAINT CATHERINE PHYSICIANS SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Ms. Rosie M. Taulbee
Title
Physician Practice Administrator
Phone
(812) 256-7436

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X 01027298A IN Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 01028535A IN

Addresses

Primary practice location

2100 Market St.
Suite 100
Charlestown, IN 47111-9535

Mailing address

2100 Market St.
Suite 100
Charlestown, IN 47111-9535
Phone (812) 256-9714

Other identifiers 2

IdentifierTypeStateIssuer
000000549974OtherINANTHEM BC/BS
B28860OtherINUPIN

Other names 1

  • Saint Catherine Medical Group, MSO Doing business as

National Provider Directory

National Provider Directory
Part of
Herbert C Hoover Jr MD

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1639352610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST.",
            "address_2": "SUITE 100",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119535",
            "telephone_number": "812-256-9714",
            "fax_number": "812-256-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST.",
            "address_2": "SUITE 100",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119535",
            "telephone_number": "812-256-9714",
            "fax_number": "812-256-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CATHERINE PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT CATHERINE PHYSICIANS SERVICES, LLC",
        "enumeration_date": "2007-12-12",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "TAULBEE",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "812-256-7436",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01027298A",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01028535A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000549974",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B28860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Catherine Medical Group, MSO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.