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ST VINCENT PEDIATRIC SUBSPECIALTIES NPI 1013967736


NPI Information

NPI: 1013967736
Provider Name: ST VINCENT PEDIATRIC SUBSPECIALTIES
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260
Phone: (317) 338-2273
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ST VINCENT PEDIATRIC SUBSPECIALTIES is a pediatrics in Indianapolis, 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 VINCENT PEDIATRIC SUBSPECIALTIES NPI is 1013967736. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2001 W 86TH ST
INDIANAPOLIS, IN
ZIP 46260-902
Phone: (317) 338-2273

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 5/11/2006 and was last updated on 11/17/2014.


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
1208M00000XHospitalistNo
22080P0207XPediatricsPediatric Hematology-OncologyNo
3363L00000XNurse PractitionerNo
42086S0120XSurgeryPediatric SurgeryNo
5208100000XPhysical Medicine & RehabilitationNo
62080P0202XPediatricsPediatric CardiologyNo
72080A0000XPediatricsAdolescent MedicineNo
82080P0205XPediatricsPediatric EndocrinologyNo
9207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryNo
102080P0214XPediatricsPediatric PulmonologyNo
11207YP0228XOtolaryngologyPediatric OtolaryngologyNo
12207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
132080N0001XPediatricsNeonatal-Perinatal MedicineNo
141223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
15208000000XPediatrics050050751INDIANAYes

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
1200505130AMEDICAIDINDIANA
2200505130EMEDICAIDINDIANA
3200505130GMEDICAIDINDIANA
4200505130HMEDICAIDINDIANA
5200505130OMEDICAIDINDIANA
6200505130PMEDICAIDINDIANA
7200505130VMEDICAIDINDIANA
8200505130BMEDICAIDINDIANA
9200505130SMEDICAIDINDIANA
10223110MEDICARE PININDIANA
11200505130CMEDICAIDINDIANA
12200505130DMEDICAIDINDIANA
13200505130LMEDICAIDINDIANA
14200505130TMEDICAIDINDIANA
15200505130UMEDICAIDINDIANA
16200505130XMEDICAIDINDIANA
17200505130MMEDICAIDINDIANA
18200505130YMEDICAIDINDIANA
19200505130ZMEDICAIDINDIANA
20200901000CMEDICAIDINDIANA
212602026MEDICAIDOHIO
22200505130JMEDICAIDINDIANA
23200505130IMEDICAIDINDIANA
24200901000BMEDICAIDINDIANA
25200901000AMEDICAIDINDIANA
26200505130FMEDICAIDINDIANA
27200505130NMEDICAIDINDIANA
28200505130WMEDICAIDINDIANA
292645178MEDICAIDOHIO
30200505130KMEDICAIDINDIANA
31200505130QMEDICAIDINDIANA
32200505130RMEDICAIDINDIANA

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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