Saint John Health System

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAINT JOHN HEALTH SYSTEM

Practice address

602 N 5TH St
Middletown, IN 47356-1008

Phone

(765) 354-2062

Fax

(765) 354-4679

NPI assigned

Aug 21, 2006

Last updated

Dec 3, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

D. Bruce Haga

Title

Vice President

Phone

(317) 583-3087

Specialties & licenses 1

Addresses

Other names 1

• Middletown Health Center Other name

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1902912108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 N MERIDIAN ST",
            "address_2": "SUITE 201",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462901024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N 5TH ST",
            "city": "MIDDLETOWN",
            "state": "IN",
            "postal_code": "473561008",
            "telephone_number": "765-354-2062",
            "fax_number": "765-354-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOHN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "HAGA",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "317-583-3087"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middletown Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Brittney Richwine
• Claire Elizabeth Sayre, ATC
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• Clark E. Simpson, LAT/ATC
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• Family Medicine Physician in Middletown, IN
• Providers in Middletown, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.