Organization
ST. VINCENT MEDICAL GROUP, INC.
Active
Organization
ST. VINCENT MEDICAL GROUP, INC.
Active
Other names
Ascension Medical Group St. Vincent
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MORRIS (CFO)
(317) 338-6234
Entity
Organization
Contact information
Practice address
409 E GREENVILLE AVE, WINCHESTER, IN 47394-9436
(765) 584-0251
Mailing address
250 W 96TH ST STE 520, INDIANAPOLIS, IN 46260-1317
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/20/2011
Last updated
02/06/2020
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