Organization
ST VINCENT PEDIATRIC SUBSPECIALTIES
Active
Parent organization
ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
Authorized official
KEVIN MCANDREWS (VICE PRESIDENT)
(317) 583-3194
Entity
Organization
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2273
Mailing address
10330 N MERIDIAN ST, SUITE 201, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207YP0228X
Pediatric Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
Primary
050050751
IN
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200505130A
—
IN
05
—
200505130B
—
IN
05
—
200505130C
—
IN
05
—
200505130D
—
IN
05
—
200505130E
—
IN
05
—
200505130F
—
IN
05
—
200505130G
—
IN
05
—
200505130H
—
IN
05
—
200505130I
—
IN
05
—
200505130J
—
IN
05
—
200505130K
—
IN
05
—
200505130L
—
IN
05
—
200505130M
—
IN
05
—
200505130N
—
IN
05
—
200505130O
—
IN
05
—
200505130P
—
IN
05
—
200505130Q
—
IN
05
—
200505130R
—
IN
05
—
200505130S
—
IN
05
—
200505130T
—
IN
05
—
200505130U
—
IN
05
—
200505130V
—
IN
05
—
200505130W
—
IN
05
—
200505130X
—
IN
05
—
200505130Y
—
IN
05
—
200505130Z
—
IN
05
—
200901000A
—
IN
05
—
200901000B
—
IN
05
—
200901000C
—
IN
05
—
2602026
—
OH
05
—
2645178
—
OH
Enumeration date
05/11/2006
Last updated
11/17/2014
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