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ST MARGARET MERCY HEALTHCARE CENTERS INC NPI 1962572354


NPI Information

NPI: 1962572354
Provider Name: ST MARGARET MERCY HEALTHCARE CENTERS INC

Doing Business As: DYER PEDIATRIC SERVICES

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
840 RICHARD RD
SUITE # 4
DYER, IN
ZIP 46311
Phone: (219) 322-7171
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ST MARGARET MERCY HEALTHCARE CENTERS INC is a pediatrics in Dyer, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ST MARGARET MERCY HEALTHCARE CENTERS INC NPI is 1962572354. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dyer Pediatric Services.

The provider's business location address is:

840 RICHARD RD
SUITE # 4
DYER, IN
ZIP 46311-994
Phone: (219) 322-7171
Fax: (219) 864-2087

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 11/9/2006 and was last updated on 6/23/2008.


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
1207Q00000XFamily MedicineNo
2208000000XPediatricsYes

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
1140220MEDICARE PININDIANA
20090000854OTHERILLINOISBCBS GROUP NUMBER
3200159110LMEDICAIDINDIANA
4140230MEDICARE ID-TYPE UNSPECIFIEDINDIANAGROUP ID

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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