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ST MARGARET MERCY HEALTHCARE CENTERS INC. NPI 1073685970


NPI Information

NPI: 1073685970
Provider Name: ST MARGARET MERCY HEALTHCARE CENTERS, INC.

Doing Business As: ST MARGARET MERCY MEDICAL ASSOCIATES OBGYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
5454 S HOHMAN AVE
HAMMOND, IN
ZIP 46320
Phone: (219) 933-2229
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ST MARGARET MERCY HEALTHCARE CENTERS, INC. is an obstetrics gynecology in Hammond, IN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ST MARGARET MERCY HEALTHCARE CENTERS, INC. NPI is 1073685970. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Margaret Mercy Medical Associates Obgyn.

The provider's business location address is:

5454 S HOHMAN AVE
HAMMOND, IN
ZIP 46320-931
Phone: (219) 933-2229
Fax: (219) 933-2614

The provider's authorized official is Thomas Gryzbek .
The authorized official title is President and has the following contact phone number (219) 932-2300.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 1/5/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10090000854OTHERILLINOISBCBS GROUP NUMBER
2140230MEDICARE ID-TYPE UNSPECIFIEDINDIANAGROUP ID
3200159110PMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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