Organization
EVANSVILLE SURGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CRUMMLEY (CHIEF OPERATIONS OFFICER)
(812) 424-8231
Entity
Organization
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
246ZC0007X
Surgical Assistant
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241430A
—
IN
01
—
101081
BCBS - GROUP
—
01
—
196912-153
IN LICENSE
IN
01
—
7100164050
KY GROUP MEDICAID - NURSE PRACTITIONERS
KY
01
—
7100229330
KY GROUP MEDICAID -PHYSICIANS
KY
01
—
7100261010
KY GROUP MEDICAID - PHYSICIAN ASSISTANT
KY
Enumeration date
05/17/2006
Last updated
11/04/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us