EVANSVILLE SURGICAL ASSOCIATES, INC (NPI# 1497707517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497707517 |
| Entity Type | Organization |
| Organization Name | EVANSVILLE SURGICAL ASSOCIATES, INC |
| Practice Address |
520 Mary St Suite 520 Evansville IN 47710-1682 |
| Practice Telephone | 8124248231 |
| Practice Fax Number | 8124358794 |
| Mailing Telephone | 8124248231 |
| Mailing Fax Number | 8124358794 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | HEIDI L PETRIG (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 8124248231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
50000151A | IN | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
50000151A | IN | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
50000151A | IN | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
50000151A | IN | Allopathic & Osteopathic Physicians |
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
50000151A | IN | Technologists, Technicians & Other Technical Service Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
50000151A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208600000X | Surgery | 50000151A | IN | Allopathic & Osteopathic Physicians |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
50000151A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50000151A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
50000151A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65906109 | 05 | |
| IN | 100241430 | 05 | |
| IN | BLUE CROSS BLUE SHIELD | 101081 | 01 |
| IL | 9511710484771001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 Saint Marys Dr Ste 405w, Evansville, IN 477140517 | 8124248231 | 8124358794 |
| Street Address |
520 MARY ST SUITE 520 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334884 | Deena Marie Beck | Physician Assistant | 520 Mary St, Suite 340, Evansville, IN 47710-1677 | 2005-05-27 |
| 1891247748 | Mandy Marie Wright | Registered Nurse | 520 Mary St, Ste 520, Evansville, IN 47710 | 2016-10-26 |
| 1922483551 | Margaret Rose Elsner | Physician Assistant | 520 Mary St, Ste 520, Evansville, IN 47710 | 2015-07-24 |
| 1588045066 | Ethan Schnur | Occupational Therapist | 520 Mary St, Evansville, IN 47710-1677 | 2015-06-10 |
| 1538549894 | Ashley Alvey | Physical Therapist | 520 Mary St, Evansville, IN 47710-1677 | 2015-06-02 |
| 1881020238 | Shannon E Smith | Physician Assistant | 520 Mary St, 520, Evansville, IN 47710-1682 | 2013-09-17 |
| 1073881827 | Amber D Raibley | Nurse Practitioner | 520 Mary St, Suite 520, Evansville, IN 47710 | 2011-12-08 |
| 1528340593 | Kara Michelle Rumley | Nurse Practitioner | 520 Mary St, Suite 520, Evansville, IN 47710 | 2011-09-15 |
| 1861774366 | Kayla Nicole Hall | Nurse Practitioner | 520 Mary St, Suite 520, Evansville, IN 47710 | 2011-09-12 |
| 1386893881 | Paula Kay Key | Clinical Nurse Specialist | 520 Mary St, Suite 520, Evansville, IN 47710-1677 | 2008-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265875769 | John Lawler | Surgery | 520 S Roosevelt Dr, Evansville, IN 47714-1632 | 2013-04-15 |
| 1225042310 | Kristi Kay Peck | Surgery | 520 Mary Street, Suite 520, Evansville, IN 47710 | 2006-07-27 |
| 1124027008 | Prasad V Gade | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2005-07-21 |
| 1922418375 | Matthew S Field | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2014-05-06 |
| 1952711582 | Alex V Baronowsky | Surgery | 520 Mary St Ste 520, Evansville, IN 47710-1682 | 2014-05-05 |
| 1124369426 | Surgical Care Associates LLC | Surgery | 801 Saint Marys Dr, Suite 205 W, Evansville, IN 47714-0511 | 2013-03-12 |
| 1669738118 | Mallory Smith Bray | Surgery | 520 Mary St Ste 520, Evansville, IN 47710 | 2012-04-10 |
| 1093028201 | St Mary's Medical Center of Evansville, Inc | Surgery | 3801 Bellemeade Ave, Ste 110, Evansville, IN 47714-0100 | 2010-07-16 |
| 1386872307 | Michael Jon Thomas | Surgery | 901 Saint Marys Dr Ste 300, Evansville, IN 47714 | 2009-06-29 |
| 1457514101 | Andrea L Jester | Surgery | 520 Mary St, Ste 520, Evansville, IN 47710 | 2008-07-02 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on EVANSVILLE SURGICAL ASSOCIATES, INC.
| 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.