St Vincent Pediatric Subspecialties

Pediatrics

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Complete Profile:

St Vincent Pediatric Subspecialties basic information including their official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	St Vincent Pediatric Subspecialties

Business Address:

St Vincent Pediatric Subspecialties address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2001 W 86th St Indianapolis, IN, 46260-1902 United States
Phone Number :	317-338-2273

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1013967736
NPI Entity Type :	Organization
First Enrolment Date :	11 May, 2006
Last Updated On :	17 Nov, 2014

Authorized Official Details:

Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.

Authorized Official Name :	Kevin Mcandrews
Official Title or Position :	VICE PRESIDENT
Phone Number :	317-583-3194

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Vincent Pediatric Subspecialties are as mentioned. Primary taxonomy code for St Vincent Pediatric Subspecialties is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208M00000X	Hospitalist	No
2080P0207X	Pediatrics Pediatric Hematology-Oncology	No
363L00000X	Nurse Practitioner	No
2086S0120X	Surgery Pediatric Surgery	No
208100000X	Physical Medicine & Rehabilitation	No
2080P0202X	Pediatrics Pediatric Cardiology	No
2080A0000X	Pediatrics Adolescent Medicine	No
2080P0205X	Pediatrics Pediatric Endocrinology	No
207XP3100X	Orthopaedic Surgery Pediatric Orthopaedic Surgery	No
2080P0214X	Pediatrics Pediatric Pulmonology	No
207YP0228X	Otolaryngology Pediatric Otolaryngology	No
207VM0101X	Obstetrics & Gynecology Maternal & Fetal Medicine	No
2080N0001X	Pediatrics Neonatal-Perinatal Medicine	No
1223X0400X	Dentist Orthodontics and Dentofacial Orthopedics	No
208000000X	Pediatrics	Yes	050050751	IN

Legacy Identifiers:

Other legacy medical identifiers of St Vincent Pediatric Subspecialties such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
200505130A	MEDICAID	IN
200505130E	MEDICAID	IN
200505130G	MEDICAID	IN
200505130H	MEDICAID	IN
200505130O	MEDICAID	IN
200505130P	MEDICAID	IN
200505130V	MEDICAID	IN
200505130B	MEDICAID	IN
200505130S	MEDICAID	IN
200505130C	MEDICAID	IN
200505130D	MEDICAID	IN
200505130L	MEDICAID	IN
200505130T	MEDICAID	IN
200505130U	MEDICAID	IN
200505130X	MEDICAID	IN
200505130M	MEDICAID	IN
200505130Y	MEDICAID	IN
200505130Z	MEDICAID	IN
200901000C	MEDICAID	IN
2602026	MEDICAID	OH
200505130J	MEDICAID	IN
200505130I	MEDICAID	IN
200901000B	MEDICAID	IN
200901000A	MEDICAID	IN
200505130F	MEDICAID	IN
200505130N	MEDICAID	IN
200505130W	MEDICAID	IN
2645178	MEDICAID	OH
200505130K	MEDICAID	IN
200505130Q	MEDICAID	IN
200505130R	MEDICAID	IN

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	10330 N Meridian St, Suite 201 Indianapolis, IN, 46290-1024 United States

Business Location:

Patients can refer following map for directions to St Vincent Pediatric Subspecialties practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.