NPIMap

Organization Active NPI

St. Vincent Jennings Hospital, Inc.

  • Surgery Physician
  • North Vernon, IN
National Provider Identifier
1710939244
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ST. VINCENT JENNINGS HOSPITAL, INC.
Practice address
301 Henry St
North Vernon, IN 47265-1030
Phone
(812) 352-4200
NPI assigned
May 16, 2006
Last updated
Aug 11, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. VINCENT JENNINGS HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Kevin McAndrews
Title
Vice President
Phone
(317) 583-3194

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X
Occupational Medicine Physician 2083X0100X
Surgery Physician 208600000X Primary
Urology Physician 208800000X
General Practice Physician 208D00000X

Addresses

Primary practice location

301 Henry St
North Vernon, IN 47265-1030

Mailing address

10330 N Meridian St
Suite 201
Indianapolis, IN 46290-1024

Other identifiers 1

IdentifierTypeStateIssuer
200846370AMedicaidIN

Other names 1

  • St. Vincent Jennings ER Other name

National Provider Directory

National Provider Directory
Part of
St Vincent Jennings Hospital Inc

Locations

7993 Reliable Pkwy
Chicago, IL 60686

10330 N Meridian St
#201
Carmel, IN 46290
Phone (317) 824-5907

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1710939244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "SUITE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HENRY ST",
            "city": "NORTH VERNON",
            "state": "IN",
            "postal_code": "472651030",
            "telephone_number": "812-352-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT JENNINGS HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENT JENNINGS HOSPITAL, INC.",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "MCANDREWS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-583-3194"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200846370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Vincent Jennings ER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Vernon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.