MICHAEL S IRISH (NPI# 1487640215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487640215 |
| Entity Type | Individual |
| Full Name | MICHAEL S IRISH |
| Credential | MD |
| Practice Address |
3900 Washington Ave Suite 100 Evansville IN 47714-0550 |
| Mailing Address |
520 Mary St Ste 520 Evansville IN 47710-1682 |
| Practice Telephone | 8124248231 |
| Practice Fax Number | 8124358794 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
01076069A | IN | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
33678 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1487640215 | 05 | |
| MO | 205324809 | 05 | |
| IN | ANTHEM BLUE CROSS BLUE SHIELD | 000001042349 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028555 | Michael Brian Irish | Social Worker | 35 Water St, Melrose, MA 02176-5815 | 2018-10-03 |
| Street Address |
3900 WASHINGTON AVE SUITE 100 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-0550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942275888 | Deborah K Goldman | Pediatrics | 3900 Washington Ave, Ste 100a, Evansville, IN 47714-0550 | 2006-02-22 |
| 1275097743 | Kim Allen | Dietitian, Registered | 3900 Washington Ave, Evansville, IN 47714-0550 | 2019-01-29 |
| 1780110239 | Kendra L Houchins | Nutritionist | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2017-05-03 |
| 1982086153 | Thomas David Mulderink | Psychologist | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2015-06-24 |
| 1649672056 | Keri H Montgomery | Nurse Practitioner | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2014-09-17 |
| 1497078190 | Jaime Lynn Below | Psychologist | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2010-03-09 |
| 1265769137 | Christina Anne Hamby | Nurse Practitioner | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2009-11-12 |
| 1629248877 | Sandy A Bowersox | Psychologist | 3900 Washington Ave, Ste 100, Evansville, IN 47714-0550 | 2008-03-04 |
| 1871547042 | Antoinette Caldwell | Pediatrics | 3900 Washington Ave, Suite 100a, Evansville, IN 47714-0550 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194081760 | Britney Lynne Grayson | Surgery | 8040 Clearvista Pkwy Ste 460, Indianapolis, IN 46256-4673 | 2012-04-07 |
| 1962592469 | Evan R. Kokoska | Surgery | 2001 W. 86th Street, Pediatric Hospital, Indianapolis, IN 46260 | 2006-10-13 |
| 1790880292 | Pediatric Surgical Associates Inc | Surgery | 250 N Shadeland Ave Ste 200, Indianapolis, IN 46219-4959 | 2006-09-13 |
| 1902833395 | Sunghoon Kim | Surgery | 8040 Clearvista Pkwy Ste 340, Indianapolis, IN 46256-4673 | 2006-06-28 |
| 1588664932 | Paul T. Stockmann | Surgery | 11123 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1707 | 2005-07-28 |
| 1225464324 | Halkawt Ali Nuri | Surgery | 545 Barnhill Dr, Suite 215, Indianapolis, IN 46202-5112 | 2013-09-20 |
| 1184881641 | Jeremy Herrmann | Surgery | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2008-05-21 |
| 1548317431 | Matthew Landman | Surgery | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2007-01-04 |
| 1811066608 | Robert C Burns | Surgery | 705 Riley Hospital Dr, Ste 2500, Indianapolis, IN 46202-5109 | 2006-11-07 |
| 1699855304 | John W Brown | Surgery | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.