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ST. VINCENT PHYSICIAN NETWORK LLC NPI 1104876648


NPI Information

NPI: 1104876648
Provider Name: ST. VINCENT PHYSICIAN NETWORK, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
11530 ALLISONVILLE RD
FISHERS, IN
ZIP 46038
Phone: (317) 415-5900
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ST. VINCENT PHYSICIAN NETWORK, LLC is a family medicine in Fishers, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. VINCENT PHYSICIAN NETWORK, LLC NPI is 1104876648. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11530 ALLISONVILLE RD
FISHERS, IN
ZIP 46038-866
Phone: (317) 415-5900

The provider's authorized official is Kevin Mcandrews .
The authorized official title is Vice President and has the following contact phone number (317) 583-3194.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 7/7/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiologyNo
2207P00000XEmergency MedicineNo
3207QA0401XFamily MedicineAddiction MedicineNo
4207R00000XInternal MedicineNo
5208000000XPediatricsNo
6208D00000XGeneral PracticeNo
7208600000XSurgeryNo
8363L00000XNurse PractitionerNo
9207X00000XOrthopaedic SurgeryNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
11106H00000XMarriage & Family TherapistNo
12207V00000XObstetrics & GynecologyNo
13363LA2200XNurse PractitionerAdult HealthNo
14207QG0300XFamily MedicineGeriatric MedicineNo
15207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200277740MEDICAIDINDIANA
25745510001MEDICARE NSCINDIANA
3200922660MEDICAIDINDIANA
4220620MEDICARE PININDIANA
5200817010MEDICAIDINDIANA
6200861610MEDICAIDINDIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.