St. Mary's Physicians' Health Group, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. MARY'S PHYSICIANS' HEALTH GROUP, LLC

Doing business as

Bellemeade Internal Medicine

Practice address

3801 Bellemeade Ave
Suite 200-C
Evansville, IN 47714-0100

Phone

(812) 485-1717

NPI assigned

Jun 19, 2008

Last updated

Sep 12, 2011By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Bellemeade Internal Medicine Doing business as

Member of 2

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

• St Mary's Medical Group, LLC

  dba Ascension Medical Group St. Vincent Evansville

  • Nephrology Physician
  • Evansville, IN
  • NPI 1619307873

  Member Of

  NPD member
• St. Mary's Health, Inc.

  dba Ascension St. Vincent Evansville Breast Center

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Newburgh, IN
  • NPI 1215332309

  Member Of

  NPD member

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": "1669633053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 200-C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE",
            "address_2": "SUITE 200-C",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140100",
            "telephone_number": "812-485-1717"
        }
    ],
    "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": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200903430B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellemeade Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Mary's Physician Network LLC.
• St. Mary's Physicians' Health Group, LLC (Bellemeade Family Physicians)
• St. Mary's Physicians' Health Group, LLC (Bryan Glynn Laura)
• St. Mary's Physicians' Health Group, LLC (Multicare Specialty Group)
• St. Mary's Physicians' Health Group, LLC (Karl W. Sash, M.D.)
• St. Mary's Physicians' Health Group, LLC (Flamion, Murray, Gourieux, Sebastian)
• Katherine V St. Pere, OTR
• St. Vincent Health Wellness and Preventive Care Institute, Inc. (Ascension St. Vincent Tri State Clinics)
• Connie Stachowski, RD
• David A Stachowski, OTR

• Internal Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Internal Medicine Physician in Indiana

• 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.

Verify at the official NPI Registry.