St Anthony Medical Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

ST ANTHONY MEDICAL CENTER

Practice address

1201 S Main St
Emergency Department
Crown Point, IN 46307-8481

Phone

(219) 757-6218

Fax

(219) 681-6885

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

David Ruskowski

Title

Ceo

Phone

(219) 757-6103

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAMC Emergency Room Physicians Doing business as

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1689620981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-757-6218",
            "fax_number": "219-681-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078481",
            "telephone_number": "219-757-6218",
            "fax_number": "219-681-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "RUSKOWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-757-6103"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200293160",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMC Emergency Room Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Spottiswood, CO
• Brittany Ann Springfield
• Regina Springstead, NP
• Kristijan Srbinoski
• St Anthony Medical Center
• St Mary Medical Center Inc
• St. Anthony Health Network, LLC
• St. Anthony Medical Center Care Coordination
• Peter Stafford, P.T.
• Joyce Stamiris, FNP-BC

• Emergency Care Clinic/Center in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Emergency Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.