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EVANSVILLE SURGICAL ASSOCIATES INC NPI 1497707517


NPI Information

NPI: 1497707517
Provider Name: EVANSVILLE SURGICAL ASSOCIATES INC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
520 MARY ST STE 520
EVANSVILLE, IN
ZIP 47710
Phone: (812) 424-8231
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EVANSVILLE SURGICAL ASSOCIATES INC is a surgery in Evansville, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. EVANSVILLE SURGICAL ASSOCIATES INC NPI is 1497707517. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 MARY ST STE 520
EVANSVILLE, IN
ZIP 47710-682
Phone: (812) 424-8231
Fax: (812) 435-8794

The provider's authorized official is Heidi L Petrig .
The authorized official title is Director Of Finance and has the following contact phone number (812) 424-8231.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/6/2024.


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
1208600000XSurgeryYes
22086S0102XSurgerySurgical Critical CareNo
32086S0120XSurgeryPediatric SurgeryNo
42086S0127XSurgeryTrauma SurgeryNo
52086S0129XSurgeryVascular SurgeryNo
6208C00000XColon & Rectal SurgeryNo
7246ZC0007XSpecialist/Technologist, OtherSurgical AssistantNo
8335E00000XProsthetic/Orthotic SupplierNo
9363AM0700XPhysician AssistantMedicalNo
10363AS0400XPhysician AssistantSurgicalNo
11363LA2100XNurse PractitionerAcute CareNo
12363LF0000XNurse PractitionerFamilyNo
13363LG0600XNurse PractitionerGerontologyNo

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
1101081OTHERBCBS - GROUP
2196912-153OTHERINDIANAIN LICENSE
37100261010OTHERKENTUCKYKY GROUP MEDICAID - PHYSICIAN ASSISTANT
47100229330OTHERKENTUCKYKY GROUP MEDICAID -PHYSICIANS
5100241430AMEDICAIDINDIANA
67100164050OTHERKENTUCKYKY GROUP MEDICAID - NURSE PRACTITIONERS

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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