Active NPI
St Margaret Mercy Healthcare Centers, Inc.
Doing business as Lowell Family Medical Services
- Family Medicine Physician
- Lowell, IN
National Provider Identifier
1841379328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST MARGARET MERCY HEALTHCARE CENTERS, INC.
- Doing business as
- Lowell Family Medical Services
- Practice address
- 2068 Lucas Pkwy
Lowell, IN 46356-2169 - Phone
- (219) 696-8200
- Fax
- (219) 696-4917
- NPI assigned
- Nov 3, 2006
- Last updated
- Jan 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2068 Lucas Pkwy
Lowell, IN 46356-2169
Mailing address
PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200159110E | Other | IN | MEDICAID |
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
Other names 1
- Lowell Family Medical Services
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, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Hammond, IN
- NPI 1912995820
-
- Neonatal-Perinatal Medicine Physician
- Hammond, IN
- NPI 1497742092
-
- Family Medicine Physician
- Dyer, IN
- NPI 1689666240
-
- Family Medicine Physician
- Hammond, IN
- NPI 1508858069
-
- Family Medicine Physician
- Dyer, IN
- NPI 1194718957
-
- Pediatrics Physician
- Dyer, IN
- NPI 1124010970
-
- Neonatal-Perinatal Medicine Physician
- Crown Point, IN
- NPI 1508853102
-
- Pediatrics Physician
- Munster, IN
- NPI 1750373189
-
- Surgery Physician
- Dyer, IN
- NPI 1972595361
-
- 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": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262649600000",
"number": "1841379328",
"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": "2068 LUCAS PKWY",
"city": "LOWELL",
"state": "IN",
"postal_code": "463562169",
"telephone_number": "219-696-8200",
"fax_number": "219-696-4917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARGARET MERCY HEALTHCARE CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"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": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "200159110E",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0090000854",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lowell Family Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lowell, IN
- Robert W Moses OD Professional Corp. (Moses EyeCare Centers)
- Barbara Thompson Rohe, P.T.
- Donna Marie Rosaves, CD DOULA
- Route 2 Wellness, P.C. (Priority Wellness)
- Baljit Singh
- Samantha Stegenga
- Paul Wayne Steward, M.D.
- Ashley J Suslowicz, LMHC-A
- Talk Time Speech Therapy, Inc
- The Health and Hospital Corporation of Marion County (Lowell Healthcare Center)
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.