Active NPI
St Margaret Mercy Healthcare Centers Inc
- Family Medicine Physician
- Schererville, IN
National Provider Identifier
1720157779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST MARGARET MERCY HEALTHCARE CENTERS INC
- Practice address
- 221 US Highway 41
Suite # 1
Schererville, IN 46375-1277 - Phone
- (219) 864-3950
- Fax
- (219) 864-3952
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Gryzbek
- Title
- President
- Phone
- (219) 932-2300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
221 US Highway 41
Suite # 1
Schererville, IN 46375-1277
Mailing address
PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 200159110R | Medicaid | IN |
Other names 1
- Omni Physician Suites
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1508858069
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- Family Medicine Physician
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- NPI 1194718957
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- Pediatrics Physician
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- NPI 1124010970
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- Neonatal-Perinatal Medicine Physician
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- NPI 1508853102
-
- Pediatrics Physician
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- NPI 1750373189
-
- Surgery Physician
- Dyer, IN
- NPI 1972595361
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- Family Medicine Physician
- Lowell, IN
- NPI 1245222090
-
- Family Medicine Physician
- Hammond, IN
- NPI 1356333082
-
- Obstetrics & Gynecology Physician
- Hammond, IN
- NPI 1063404812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1720157779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "DYER",
"state": "IN",
"postal_code": "463110800",
"telephone_number": "219-864-2107",
"fax_number": "219-864-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 US HIGHWAY 41",
"address_2": "SUITE # 1",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "463751277",
"telephone_number": "219-864-3950",
"fax_number": "219-864-3952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARGARET MERCY HEALTHCARE CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2010-01-05",
"status": "A",
"authorized_official_last_name": "GRYZBEK",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-932-2300"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0090000854",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200159110R",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Omni Physician Suites",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Schererville, IN
- South Shore Chiropractic Inc
- Lisa Marie Spellman, MS
- Spencer J. Markowitz, M.D., P.C.
- Spine Institute of Schererville LLC
- Haylee Erin Spronk, MSW
- Staffed for Perfection Healthcare Staffing
- Karen Elizabeth Stahr, M.A., CCC-SLP
- Joseph James Stecyk, RPH
- Joseph Christopher Stewart
- Kara Stimac, M.A. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.