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ST MARY'S MEDICAL GROUP LLC NPI 1164852539


NPI Information

NPI: 1164852539
Provider Name: ST MARY'S MEDICAL GROUP, LLC

Doing Business As: ST VINCENT EVANSVILLE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3700 WASHINGTON AVE
EVANSVILLE, IN
ZIP 47750
Phone: (812) 485-4000
Get Directions

ST MARY'S MEDICAL GROUP, LLC is a family medicine in Evansville, 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 MARY'S MEDICAL GROUP, LLC NPI is 1164852539. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Vincent Evansville Medical Group.

The provider's business location address is:

3700 WASHINGTON AVE
EVANSVILLE, IN
ZIP 47750-001
Phone: (812) 485-4000

The provider's authorized official is Brian Morris .
The authorized official title is Cfo (svmg) and has the following contact phone number (317) 338-6234.

The enumeration date for this NPI number is 11/20/2013 and was last updated on 5/18/2021.


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
1103T00000XPsychologistNo
2207Q00000XFamily MedicineYes
3207R00000XInternal MedicineNo
4207RI0200XInternal MedicineInfectious DiseaseNo
5207RN0300XInternal MedicineNephrologyNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207RR0500XInternal MedicineRheumatologyNo
8207RS0012XInternal MedicineSleep MedicineNo
9207V00000XObstetrics & GynecologyNo
10208000000XPediatricsNo
112080P0202XPediatricsPediatric CardiologyNo
12363A00000XPhysician AssistantNo
13363L00000XNurse PractitionerNo
14363LA2100XNurse PractitionerAcute CareNo
15363LF0000XNurse PractitionerFamilyNo

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

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