SAINT CHARLES SURGICAL PAVILION INC
NPI 1295810109
Anesthesiology in Jasper, IN

Active since October 26, 2006CLIA 15D0971849 · Waiver
1900 SAINT CHARLES ST, JASPER, IN 47546(812) 634-1211(812) 634-9762 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Saint Charles Surgical Pavilion Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAINT CHARLES SURGICAL PAVILION INC (NPI 1295810109) is a healthcare organization registered as an anesthesiology in Jasper, Indiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 21, 2028 and lists Randall G Norris, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1295810109
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameSAINT CHARLES SURGICAL PAVILION INC
Location Address1900 SAINT CHARLES STJasper, IN 47546-9145
Mailing Address1900 Saint Charles StJasper, IN 47546-9145 · (812) 634-1211 · Fax (812) 634-9762
Fax(812) 634-9762
Organization SubpartNo
Authorized OfficialRandall G NorrisOwner/ceo · (812) 634-1211
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 13, 2012
NPI 1295810109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1900 SAINT CHARLES ST, Jasper, IN 47546

Other Identifiers 1

Medicare PIN180570IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0971849

Saint Charles Surgical Pavilion Inc · Jasper, IN
Active · expires Mar 21, 2028
CLIA Number15D0971849
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 22, 2026
Certificate Expiration DateMarch 21, 2028
Laboratory DirectorRandall G. Norris
Laboratory Phone(812) 634-1211
Laboratory LocationSaint Charles Surgical Pavilion Inc1900 St Charles St, Jasper, IN 47546
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1900 SAINT CHARLES ST
JASPER, IN 47546
Physical Therapy Assistant
1900 SAINT CHARLES ST
JASPER, IN 47546
Physical Therapist
1900 SAINT CHARLES ST
JASPER, IN 47546
Occupational Therapist
1900 SAINT CHARLES ST
JASPER, IN 47546
Physical Therapy Assistant
1900 SAINT CHARLES ST
JASPER, IN 47546
Orthopaedic Surgery
1900 SAINT CHARLES ST
JASPER, IN 47546
Orthopaedic Surgery
1900 SAINT CHARLES ST
JASPER, IN 47546
Physical Therapist
1900 SAINT CHARLES ST
JASPER, IN 47546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Saint Charles Surgical Pavilion Inc's NPI number?

The NPI number for Saint Charles Surgical Pavilion Inc is 1295810109. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Saint Charles Surgical Pavilion Inc located?

Saint Charles Surgical Pavilion Inc is located at 1900 Saint Charles St, Jasper, IN 47546. The listed phone number is (812) 634-1211.

What is Saint Charles Surgical Pavilion Inc's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Does Saint Charles Surgical Pavilion Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0971849) is associated with this NPI, valid through March 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saint Charles Surgical Pavilion Inc was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.