ASCENSION MEDICAL GROUP ST. VINCENT EVANSVILLE
NPI 1619307873
Internal Medicine - Nephrology in Evansville, IN

Active since November 25, 2013
3700 WASHINGTON AVE, EVANSVILLE, IN 47750(812) 485-4000 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 29, 2020, Feb 17, 2017 (2 updates tracked since 2017).

About Ascension Medical Group St. Vincent Evansville NPPES

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

ASCENSION MEDICAL GROUP ST. VINCENT EVANSVILLE (NPI 1619307873) is a healthcare organization registered as a nephrology in Evansville, Indiana and active in the NPI registry since November 2013. The organization lists William J Millikan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619307873
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameST MARY'S MEDICAL GROUP, LLC
Location Address3700 WASHINGTON AVEEvansville, IN 47750-0001
Mailing AddressPo Box 13059Belfast, ME 04915-4021 · (317) 583-3022 · Fax (317) 583-2199
Organization SubpartNo
Authorized OfficialWilliam J MillikanCeo · (812) 485-4000
Enumeration DateNovember 25, 2013
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1619307873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
3700 WASHINGTON AVE, Evansville, IN 47750

Other Names 2

Doing Business AsAscension Medical Group St. Vincent Evansville
Doing Business AsSt Vincent Evansville Medical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Anesthesiology
3700 WASHINGTON AVE, ST MARYS MEDICAL CENTER ANESTHESIA DEPT
EVANSVILLE, IN 47750
Obstetrics & Gynecology (Gynecology)
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Pathology (Anatomic Pathology & Clinical Pathology)
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Speech-Language Pathologist
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Radiology (Diagnostic Radiology)
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Internal Medicine
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Pharmacist (Pharmacotherapy)
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Anesthesiology
3700 WASHINGTON AVE, ST MARYS MEDICAL CENTER ANESTHESIA DEPT
EVANSVILLE, IN 47750

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 St Mary's Medical Group, LLC's NPI number?

The NPI number for St Mary's Medical Group, LLC is 1619307873. It was assigned to this organization in the NPPES registry on November 25, 2013. The provider is doing business as Ascension Medical Group St. Vincent Evansville and St Vincent Evansville Medical Group.

Where is St Mary's Medical Group, LLC located?

St Mary's Medical Group, LLC is located at 3700 Washington Ave, Evansville, IN 47750. The listed phone number is (812) 485-4000.

What is St Mary's Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for St Mary's Medical Group, LLC was last updated on June 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.