Dr Mark Vickers, PSC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

01043252A Issued in IN

Legal business name

DR MARK VICKERS, PSC

Practice address

2805 Lincoln Ave
Evansville, IN 47714-1724

Phone

(812) 476-6907

Fax

(812) 476-6992

NPI assigned

Nov 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Willam M Vickers, M.D.

Title

President

Phone

(812) 476-6907

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Robert Bonham, M.D.

  • Anesthesiology Physician
  • Evansville, IN
  • NPI 1740206283
  NPD (past)
• Dusky Rideout Farmer, D.P.M.

  • Foot Surgery Podiatrist
  • Evansville, IN
  • NPI 1114904935
  NPD (past)
• Charlotte Ann Reisinger, D.P.M.

  • Foot Surgery Podiatrist
  • Evansville, IN
  • NPI 1952386872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1255585048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2469",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477280469",
            "telephone_number": "812-476-6907",
            "fax_number": "812-476-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141724",
            "telephone_number": "812-476-6907",
            "fax_number": "812-476-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARK VICKERS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "WILLAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-476-6907",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01043252A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002730C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Dowdy
• Stratton Adam Dowland, FNP
• Christina Doyle, OTR
• Kennedy Doyle, PMHNP-BC
• Dr Mark Lynn & Associates, PLLC
• Dr Paul Harries LLC
• Dr Slovachek LLC
• Dr Tavel of Evansville, LLC
• Dr. Karl L. Lamb, LLC
• Dr. Matt C. Rebeck, LLC

• Anesthesiology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Anesthesiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.