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Evansville Surgical Associates Inc

Surgery Physician in Evansville, IN · enumerated 2006 · authorized official Mark Crummley, Chief Operations Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497707517

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Evansville Surgical Associates Inc
Practice address 520 Mary St Ste 520, Evansville, IN, 47710
Fax (812) 435-8794
Enumeration date May 17, 2006
Last updated in NPPES Nov 4, 2025

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary
2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians Secondary
2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
208C00000X Colon & Rectal Surgery Physician Allopathic & Osteopathic Physicians Secondary
246ZC0007X Surgical Assistant Technologists, Technicians & Other Technical Service Providers Secondary
335E00000X Prosthetic/Orthotic Supplier Suppliers Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Mark Crummley
Title Chief Operations Officer

Other identifiers

Identifier Type State Issuer
7100261010 Other KY KY GROUP MEDICAID - PHYSICIAN ASSISTANT
100241430A Medicaid IN -
7100164050 Other KY KY GROUP MEDICAID - NURSE PRACTITIONERS
101081 Other - BCBS - GROUP
196912-153 Other IN IN LICENSE
7100229330 Other KY KY GROUP MEDICAID -PHYSICIANS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Evansville Surgical Associates Inc?
Evansville Surgical Associates Inc is registered in NPPES as a Surgery Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-11-04.