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OHIO VALLEY COLON & RECTAL SURGEONS INC. NPI 1043279813


NPI Information

NPI: 1043279813
Provider Name: OHIO VALLEY COLON & RECTAL SURGEONS, INC.
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
801 ST. MARY'S DRIVE WEST
SUITE 300
EVANSVILLE, IN
ZIP 47714
Phone: (812) 477-9241
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OHIO VALLEY COLON & RECTAL SURGEONS, INC. is a colon rectal surgery in Evansville, IN. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. OHIO VALLEY COLON & RECTAL SURGEONS, INC. NPI is 1043279813. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 ST. MARY'S DRIVE WEST
SUITE 300
EVANSVILLE, IN
ZIP 47714-560
Phone: (812) 477-9241
Fax: (812) 474-6708

The provider's authorized official is James D. Waller .
The authorized official title is Vice-president/secretary and has the following contact phone number (812) 301-8110.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 4/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208C00000XColon & Rectal Surgery50002315AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000056135OTHERINDIANAANTHEM BC/BS
2100246770AMEDICAIDINDIANA
365908493MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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