St. Mary Medical Center

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

ST. MARY MEDICAL CENTER

Doing business as

St. Mary Medical Center CRNA

Practice address

1500 S Lake Park Ave
Hobart, IN 46342-6638

Phone

(219) 947-6980

Fax

(219) 947-6037

NPI assigned

Jan 4, 2007

Last updated

Jul 11, 2024By 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

Mary Sudicky

Title

Cfo

Phone

(219) 947-6014

Specialties & licenses 1

Addresses

Other names 1

• St. Mary Medical Center CRNA Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• St Mary Medical Center Inc

  • Obstetrics & Gynecology Physician
  • Crown Point, IN
  • NPI 1306170477

  O20040603000490

  Same enrollment
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175

  O20040603000490

  Same enrollment
• St. Mary Medical Center

  • Internal Medicine Physician
  • Highland, IN
  • NPI 1700921541

  O20040603000490

  Same enrollment
• St. Mary Medical Center Inc

  dba Michael Kovacich MD

  • Family Medicine Physician
  • Merrillville, IN
  • NPI 1598839730

  O20040603000490

  Same enrollment

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1952458564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6980",
            "fax_number": "219-947-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S LAKE PARK AVE",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426638",
            "telephone_number": "219-947-6980",
            "fax_number": "219-947-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "SUDICKY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "219-947-6014"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary Medical Center CRNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Mary Medical Center Inc
• St Mary Medical Center Inc (Home Health of St Mary Medical Center)
• St Mary Medical Center Inc
• St Mary Medical Center Inc (St Mary Wound Clinic)
• St. Catherine Hospital Occupational Health @St. Mary Medical Center
• Chasity Lynn Stahl, DNP, CRNA
• Paul J Stanish, MD
• Kathleen Megan Starr, D.O.
• Zlatan Stepanovic, M.D.
• Hope Stone

• Certified Registered Nurse Anesthetist in Hobart, IN
• Providers in Hobart, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.