St Vincent Pediatric Subspecialties

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

Legal business name

ST VINCENT PEDIATRIC SUBSPECIALTIES

Practice address

3700 Washington Ave
Evansville, IN 47714-0541

Phone

(812) 485-4000

NPI assigned

Jun 10, 2019

Last updated

Dec 10, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ST VINCENT HOSPITAL AND HEALTH CARE CENTER INCAs reported in NPPES

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

Authorized official

Name

Brian Morris

Title

Cfo (SVMG)

Phone

(317) 338-6234

Specialties & licenses 15

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Vincent Pediatric Subspecialties

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1013967736

  O20050214000627

  Same enrollment

Tax ID family

St Vincent Hospital and Health Care Center Inc4 organizations share this tax ID, including this one

Part of

St Vincent Stress CNTR

Other organizations with this tax ID 3

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

• St. Vincent Children's Hospital

  • Clinic/Center
  • Zionsville, IN
  • NPI 1669442802
  NPD tax ID
• St. Vincent Hospital and Health Care Center, Inc.

  dba St. Vincent Pediatric Subspecialties

  • Neonatal-Perinatal Medicine Physician
  • Fort Wayne, IN
  • NPI 1023203239
  NPD tax ID
• St. Vincent Hospital and Health Care Center, Inc.

  • Pediatric Gastroenterology Physician
  • Indianapolis, IN
  • NPI 1316205495
  NPD tax ID

Locations

Practitioners 268

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.

• Matthew David Abbott, MD

  • Pediatric Orthopaedic Surgery Physician
  • Indianapolis, IN
  • NPI 1053579615
  NPD
• Hollie Elizabeth Ainley, RN, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Indianapolis, IN
  • NPI 1417451147
  NPD
• Leyla Akanli, MD

  • Pediatric Sleep Medicine Physician
  • Fishers, IN
  • NPI 1881634392

  Pediatrics

  NPD
• Musab Al-Yahia, MD

  • Pediatrics Physician
  • Evansville, IN
  • NPI 1538476189
  NPD
• Saif Aljemmali, M.D.

  • Pediatric Cardiology Physician
  • Lafayette, IN
  • NPI 1558723007

  Pediatrics

  NPD
• Lynn Alkhatib

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1609404441
  NPD
• Shea N Aulbach, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Indianapolis, IN
  • NPI 1245489723
  NPD
• Amanda Behny Austin, CPNP

  • Critical Care Pediatric Nurse Practitioner
  • Indianapolis, IN
  • NPI 1023522539

  Pediatrics

  NPD
• Patricia H Balbach, PT

  • Physical Therapist
  • Evansville, IN
  • NPI 1093868069
  NPD
• Courtney Rochelle Barnett, CPNP

  • Critical Care Pediatric Nurse Practitioner
  • Indianapolis, IN
  • NPI 1326678970

  Pediatrics

  NPD
• Angela C Barton, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1588019004
  NPD
• Kelly Joann Barton, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1851950729
  NPD

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1851950224",
    "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": "3700 WASHINGTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST VINCENT PEDIATRIC SUBSPECIALTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO (SVMG)",
        "authorized_official_telephone_number": "317-338-6234"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Marys Health, Inc. (Ascension St. Vincent Evansville)
• St Marys Health, Inc. (Ascension St. Vincent Evansville)
• St Marys Medical Group, LLC (Ascension Medical Group St. Vincent Evansville)
• St Marys Medical Group, LLC (Ascension Medical Group St. Vincent Evansville)
• St Marys Ohio Valley Heartcare LLC
• Shaeli St. Ledger, RN, BSN, MSN, FNP-C
• St. Louis JC Vamc
• St. Louis JC Vamc
• St. Mary's at Home
• St. Mary's at Home Inc (St. Mary's Medical Equipment)

• Pediatric Critical Care Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Pediatric Critical Care Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.