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ST. MARY'S PHYSICIAN NETWORK LLC. NPI 1639114143


NPI Information

NPI: 1639114143
Provider Name: ST. MARY'S PHYSICIAN NETWORK LLC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3700 WASHINGTON AVENUE
EVANSVILLE, IN
ZIP 47750
Phone: (812) 485-1220
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ST. MARY'S PHYSICIAN NETWORK LLC. is an internal medicine in Evansville, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST. MARY'S PHYSICIAN NETWORK LLC. NPI is 1639114143. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3700 WASHINGTON AVENUE
EVANSVILLE, IN
ZIP 47750-001
Phone: (812) 485-1220

The provider's authorized official is Kimberly Hodgkinson .
The authorized official title is Cfo and has the following contact phone number (812) 485-4000.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 8/17/2018.


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
1363LP0200XNurse PractitionerPediatricsNo
2363LA2100XNurse PractitionerAcute CareNo
3207RN0300XInternal MedicineNephrologyNo
4207Q00000XFamily MedicineNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207V00000XObstetrics & GynecologyNo
8208000000XPediatricsNo
9363L00000XNurse PractitionerNo
10363A00000XPhysician AssistantNo
11363LF0000XNurse PractitionerFamilyNo
122080S0012XPediatricsSleep MedicineNo
13207R00000XInternal MedicineYes
14208D00000XGeneral PracticeNo

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
1200829650MEDICAIDINDIANA
265945420MEDICAIDKENTUCKY
3=========OTHERINDIANATAX ID#
4DF3251OTHERINDIANARR MEDICARE GRP#

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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