Active NPI
St Margaret Mercy Healthcare Centers Inc
Doing business as Dyer Pediatric Services
- Pediatrics Physician
- Dyer, IN
National Provider Identifier
1962572354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ST MARGARET MERCY HEALTHCARE CENTERS INC
- Doing business as
- Dyer Pediatric Services
- Practice address
- 840 Richard Rd
Suite # 4
Dyer, IN 46311-1994 - Phone
- (219) 322-7171
- Fax
- (219) 864-2087
- NPI assigned
- Nov 9, 2006
- Last updated
- Jun 23, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | ||
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
840 Richard Rd
Suite # 4
Dyer, IN 46311-1994
Mailing address
PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0090000854 | Other | IL | BCBS GROUP NUMBER |
| 200159110L | Medicaid | IN |
Other names 1
- Dyer Pediatric Services
National Provider Directory
National Provider DirectoryLocations
840 Richard Rd
Ste 4
Dyer, IN 46311
Phone (219) 322-0487
Practitioners & 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
-
- 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": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1962572354",
"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": "840 RICHARD RD",
"address_2": "SUITE # 4",
"city": "DYER",
"state": "IN",
"postal_code": "463111994",
"telephone_number": "219-322-7171",
"fax_number": "219-864-2087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARGARET MERCY HEALTHCARE CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2008-06-23",
"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": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "0090000854",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200159110L",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dyer Pediatric Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dyer, IN
- St Margaret Mercy Healthcare Centers (Dyer Family Practice South)
- St Margaret Mercy Healthcare Centers (Midwest Bariatric Institute@ Saint Margaret Mercy)
- St Margaret Mercy Healthcare Centers (Outpatient Behavioral Health Dyer)
- St Margaret Mercy Healthcare Centers (Specialty Health Center-Gynecologic Oncology)
- St Margaret Mercy Healthcare Centers (Dyer Family Practice)
- St Margaret Mercy Healthcare Centers Inc (St Margaret Mercy Inpatient Specialist)
- St Margaret Mercy Healthcare Centers, Inc (Ear Nose and Throat Clinic)
- St Margaret Mercy Healthcare Centers, Inc. (Dyer Childrens Services)
- St Margaret Mercy Healthcare Centers, Inc. (Fetal Medicine Clinic)
- St Margaret Mercy Healthcare Centers, Inc. (Physician Outpatient Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.