St. Vincent Medical Group, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ST. VINCENT MEDICAL GROUP, INC.

Doing business as

Ascension Medical Group St. Vincent

Practice address

1300 Innovation Parkway
#150
Greenwood, IN 46143-3625

Phone

(317) 583-4410

NPI assigned

Oct 24, 2018

Last updated

Feb 12, 2020By 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

Brian Morris

Title

Cfo

Phone

(317) 338-6234

Specialties & licenses 1

Addresses

Other names 1

• Ascension Medical Group St. Vincent Doing business as

Member of 1

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

• St. Vincent Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Frankfort, IN
  • NPI 1952646564

  Member Of

  NPD member

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1720555170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 96TH ST # 520",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 INNOVATION PARKWAY",
            "address_2": "#150",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433625",
            "telephone_number": "317-583-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "317-338-6234"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascension Medical Group St. Vincent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Francis Imaging Center
• St. Francis Medical Group, LLC
• Laura Michelle St. John, R.N.
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• St. Vincent Medical Group, Inc. (Ascension Medical Group St. Vincent)
• Stacy D Johnson DDS PC (Sleep Better Healthcare)
• Stacy D Johnson DDS PC (Sleep Better Healthcare)
• Stacy D Johnson, DDS, PC
• Allison Stahl, LCSW
• Cameron Ross Stahlhut, LMFT

• Physiological Laboratory in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Physiological Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.