# ST MARY'S MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascension Medical Group St. Vincent Evansville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154933703
- **Authorized official:** DANIEL PAROD (CEO)
- **Authorized official phone:** (812) 485-1502

## Contact information

- **Practice address:** 3801 BELLEMEADE AVE STE 110, EVANSVILLE, IN 47714-0111
- **Practice address phone:** (812) 485-7330
- **Mailing address:** 250 W 96TH ST STE 520, INDIANAPOLIS, IN 46260-1317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 08/17/2020
- **Last updated:** 08/17/2020