St Margaret Mercy Healthcare Centers

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ST MARGARET MERCY HEALTHCARE CENTERS

Doing business as

Orthopedic Clinic

Practice address

5454 Hohman Ave
Hammond, IN 46320-1931

Phone

(219) 933-7930

Fax

(219) 933-2655

NPI assigned

Nov 29, 2006

Last updated

Feb 4, 2011By 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

Thomas Gryzbek

Title

President

Phone

(219) 932-2300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Orthopedic Clinic Doing business as

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1982771267",
    "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": "5454 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-933-7930",
            "fax_number": "219-933-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARGARET MERCY HEALTHCARE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-02-04",
        "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": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200159110K",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC",
            "identifier": "90000854",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Margaret Mercy Healthcare Centers (Douglas Park Medical Center)
• St Margaret Mercy Healthcare Centers (Urosurgery Clinic)
• St Margaret Mercy Healthcare Centers (Wound Healing & Prevention Institute)
• St Margaret Mercy Healthcare Centers (The Spine Clinic)
• St Margaret Mercy Healthcare Centers (St Margaret Mercy Behavioral Health Outpatient Centers)
• St Margaret Mercy Healthcare Centers Inc (St Margaret Mercy Inpatient Specialist)
• St Margaret Mercy Healthcare Centers, Inc. (St Margaret Mercy Medical Associates OBGYN)
• St Margaret Mercy Healthcare Centers, Inc. (St Margaret Mercy Children's Group North)
• St Margaret Mercy Healthcare Centers, Inc. (Woodmar Clinic)
• St Margaret Mercy Healthcare Centers, Inc. (Hammond Family Services)

• Orthopaedic Surgery Physician in Hammond, IN
• Providers in Hammond, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.