NPIMap

Organization Active NPI

St. Mary's Physicians' Health Group,LLC

Doing business as Richard Gries, M.D.

  • Family Medicine Physician
  • Haubstadt, IN
National Provider Identifier
1790945335
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01024530A Issued in IN
Legal business name
ST. MARY'S PHYSICIANS' HEALTH GROUP,LLC
Doing business as
Richard Gries, M.D.
Practice address
11990 S 50 W
Haubstadt, IN 47639-8807
Phone
(812) 464-3016
NPI assigned
Jun 16, 2008
Last updated
Oct 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01024530A IN Primary

Addresses

Primary practice location

11990 S 50 W
Haubstadt, IN 47639-8807

Mailing address

PO Box 370
Haubstadt, IN 47639-0370
Phone (812) 464-3016

Other names 1

  • Richard Gries, M.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1790945335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476390370",
            "telephone_number": "812-464-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 S 50 W",
            "city": "HAUBSTADT",
            "state": "IN",
            "postal_code": "476398807",
            "telephone_number": "812-464-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S PHYSICIANS' HEALTH GROUP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2009-10-23",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01024530A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Gries, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Haubstadt, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.