NPIMap

Organization Active NPI

Saint Catherine Physicians Services LLC

  • Internal Medicine Physician
  • Charlestown, IN
National Provider Identifier
1790973030
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01044677A Issued in IN
Legal business name
SAINT CATHERINE PHYSICIANS SERVICES LLC
Practice address
2100 Market St.
Charlestown, IN 47111
Phone
(812) 256-7830
Fax
(812) 256-7835
NPI assigned
Oct 11, 2007
Organization subpart
Yes
Parent organization
SAINT CATHERINE PHYSICIAN SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Kathryn F. Pribble
Title
Practice Manager
Phone
(812) 256-7579

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 01036818A IN
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 01044677A IN Primary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 10128535A IN
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 01031544A IN
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 01065372A IN
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X 01064871A IN
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 71001236A IN

Addresses

Primary practice location

2100 Market St.
Charlestown, IN 47111

Mailing address

2100 Market St
Ste 106
Charlestown, IN 47111
Phone (812) 256-7830

Other identifiers 9

IdentifierTypeStateIssuer
100138490MedicaidIN
200406830MedicaidIN
100204700MedicaidIN
D95574OtherINUPIN
000000549973OtherINANTHEM BC/BS
200879370AMedicaidIN
20087937AMedicaidIN
71001236AOtherINLISC
200893060MedicaidIN

Other names 1

  • Saint Catherine Medical Group Doing business as

National Provider Directory

National Provider Directory
Part of
Herbert C Hoover Jr MD

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1790973030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST",
            "address_2": "STE 106",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "47111",
            "telephone_number": "812-256-7830",
            "fax_number": "812-256-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MARKET ST.",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "47111",
            "telephone_number": "812-256-7830",
            "fax_number": "812-256-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CATHERINE PHYSICIANS SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT CATHERINE PHYSICIAN SERVICES LLC",
        "enumeration_date": "2007-10-11",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "PRIBBLE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "812-256-7579"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01036818A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01044677A",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "10128535A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01031544A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01065372A",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IN",
            "license": "01064871A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001236A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138490",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200406830",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100204700",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D95574",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000549973",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200879370A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20087937A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISC",
            "identifier": "71001236A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200893060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Catherine Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlestown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.