NPIMap

Organization Active NPI

St Francis Medical Group Mooresville

  • Pediatrics Physician
  • Mooresville, IN
National Provider Identifier
1831366467
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ST FRANCIS MEDICAL GROUP MOORESVILLE
Practice address
1201 Hadley Rd
Mooresville, IN 46158-1737
Phone
(317) 528-4800
Fax
(317) 865-1479
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Brad Joubert
Title
Ambulatory Business Office Director
Phone
(317) 528-4291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1201 Hadley Rd
Mooresville, IN 46158-1737

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

National Provider Directory

National Provider Directory
Tax ID family
Heartland Crossing Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1831366467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HADLEY RD",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581737",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS MEDICAL GROUP MOORESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "JOUBERT",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "AMBULATORY BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "317-528-4291"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.