ST. MARY'S FREESTANDING CATH LAB LLC
NPI 1760442883
Clinic/Center - Ambulatory Surgical in Evansville, IN

NPI Status: Active since March 23, 2006

Contact Information

901 SAINT MARYS DR
EVANSVILLE, IN
ZIP 47714
Phone: (812) 485-7409
Fax: (812) 485-7416

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About ST. MARY'S FREESTANDING CATH LAB LLC

This page provides the complete NPI Profile along with additional information for St. Mary's Freestanding Cath Lab Llc, a provider established in Evansville, Indiana operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1760442883 assigned on March 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Jan Ernest (Secretary/treasurer)

NPI
1760442883
Provider Name
ST. MARY'S FREESTANDING CATH LAB LLC
Entity Type
Organization
Location Address
901 SAINT MARYS DR EVANSVILLE, IN 47714
Location Phone
(812) 485-7409
Location Fax
(812) 485-7416
Mailing Address
PO BOX 15253 EVANSVILLE, IN 47716
Mailing Phone
(812) 204-8429
Mailing Fax
(812) 485-7416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2006
Last Update Date
04-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License State
IN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JAN ERNEST

Authorized Official Title
SECRETARY/TREASURER
Authorized Official Phone
(812) 485-4573

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
36001378MEDICAID (05)KY 
217430MEDICARE ID-TYPE UNSPECIFIED (04)ININDIANA MEDICARE
=========001MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760442883
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120844816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 4 + 4 + 8 + 1 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1760442883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

VANDE COX CFNP

Nurse Practitioner

(Family)

901 SAINT MARYS DR
SUITE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

BARRY J CREVEY MD

Internal Medicine

(Cardiovascular Disease)

901 SAINT MARYS DR
STE300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

DR. PETER A ROSARIO M.D.

Internal Medicine

(Pulmonary Disease)

901 SAINT MARYS DR
SUITE 200
EVANSVILLE, IN
ZIP 47714

(812) 485-6030

ST MARY'S OHIO VALLEY HEART CARE, LLC

Internal Medicine

(Cardiovascular Disease)

901 SAINT MARYS DR
STE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

MR. RICK ANGLEN PA

Physician Assistant

901 SAINT MARYS DR
SUITE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

ALLYSON E MILLS NP

Nurse Practitioner

(Acute Care)

901 SAINT MARYS DR
STE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

GURTEJ SINGH MD

Internal Medicine

(Cardiovascular Disease)

901 SAINT MARYS DR
STE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

SHALEEN AYERS CNS

Clinical Nurse Specialist

901 SAINT MARYS DR
SUITE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

DR. W PHILIP R CASINO MD

Internal Medicine

(Interventional Cardiology)

901 SAINT MARYS DR
SUITE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

ASHLEY HAMMER NP

Nurse Practitioner

(Acute Care)

901 SAINT MARYS DR
STE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

MRS. KACY SMITH JONES MSN, ACNP

Nurse Practitioner

(Acute Care)

901 SAINT MARYS DR
STE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

MONICA JUNE MAIKRANZ ACNP-BC

Nurse Practitioner

(Acute Care)

901 SAINT MARYS DR
STE 200
EVANSVILLE, IN
ZIP 47714

(812) 485-6030

UMANG M PATEL MD

Internal Medicine

(Clinical Cardiac Electrophysiology)

901 SAINT MARYS DR
STE 300
EVANSVILLE, IN
ZIP 47714

(812) 473-2642

DR. VICTOR M CHAVEZ MD

Internal Medicine

(Pulmonary Disease)

901 SAINT MARYS DR
SUITE 200
EVANSVILLE, IN
ZIP 47714

(812) 485-6030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760442883, enumerated as an "organization" on March 23, 2006.

The provider is located at 901 SAINT MARYS DR EVANSVILLE, IN 47714 and the phone number is (812) 485-7409.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.