Evansville Surgical Associates Inc in Evansville - Pediatric Surgery
Evansville Surgical Associates Inc - NPI 1497707517
Evansville Surgical Associates Inc is a Pediatric Surgery in Evansville, Indiana. Evansville Surgical Associates Inc practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Evansville Surgical Associates Inc is 1497707517. The last update date is 2023-11-28.
Evansville Surgical Associates Inc's current location address is 520 Mary St, Evansville, Indiana. You can contact this provider via phone number 8124248231 and fax number 8124358794. The mailing address for Evansville Surgical Associates Inc is 520 Mary St, Evansville, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evansville Surgical Associates Inc |
|---|---|
| Address | 520 Mary St, Evansville, Indiana |
| Phone Number | 8124248231 |
| Fax Number | 8124358794 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Petrig L Heidi |
| Telephone Number | 8124248231 |
NPI Number Detail
| NPI Number | 1497707517 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2023-11-28 |
Provider Mailing Address Detail
| Address | 520 Mary St |
|---|---|
| City | Evansville |
| State | Indiana (IN) |
| Post Code | 477101682 |
| Phone Number | 8124248231 |
| Fax Number | 8124358794 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100164050 | KY | KY GROUP MEDICAID - NURSE PRAC | |
| 7100261010 | KY | KY GROUP MEDICAID - PHYSICIAN | |
| 101081 | BCBS - GROUP | ||
| 196912-153 | IN | IN LICENSE | |
| 100241430A | IN | -- | |
| 7100229330 | KY | KY GROUP MEDICAID -PHYSICIANS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Evansville Surgical Associates Inc by the Centers for Medicare & Medicaid Services?
The Evansville Surgical Associates Inc has been assigned the NPI (National Provider Identifier) 1497707517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Evansville Surgical Associates Inc is physically located?
The Evansville Surgical Associates Inc is situated at the following address: 520 Mary St, Evansville, IN 477101682.
What is Evansville Surgical Associates Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evansville Surgical Associates Inc's area of specialization is Pediatric Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0120X.
On what date did the Evansville Surgical Associates Inc receive the assignment of its 1497707517 from the Centers for Medicare & Medicaid Services?
The Evansville Surgical Associates Inc was issued its 1497707517 by the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the details pertaining to Evansville Surgical Associates Inc last refreshed?
The information related to the Evansville Surgical Associates Inc, including its address, specialty, and other relevant details, was last updated on 2023-11-28.