Oral Surgery Group of Evansville, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

54000277A Issued in IN

Legal business name

ORAL SURGERY GROUP OF EVANSVILLE, INC

Practice address

550 W Virginia St
Evansville, IN 47710-1614

Phone

(812) 425-5194

Fax

(812) 426-9984

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen L Kellams

Title

Practice Manager

Phone

(812) 425-5194

Specialties & licenses 1

Addresses

Other names 1

• Troyer & Altekruse DDS, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Scott Edwards, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Evansville, IN
  • NPI 1871751644
  Medicare reassignment Care Compare group NPD
• William Reuel Farnsworth, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Evansville, IN
  • NPI 1790813293
  Medicare reassignment Care Compare group NPD
• Robert Corry Shumate, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Newburgh, IN
  • NPI 1255691085
  Medicare reassignment Care Compare group NPD
• Mitchell Ian Troyer, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Evansville, IN
  • NPI 1518387828
  Medicare reassignment Care Compare group NPD
• David E Yates, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Evansville, IN
  • NPI 1215084413

  Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• David L Hayhurst, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Evansville, IN
  • NPI 1386791580

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD
• Paul K Pogue, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Evansville, IN
  • NPI 1609923804

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD
• Mark E. Wohlford, DDS, PH D

  • Oral and Maxillofacial Surgery (Dentist)
  • Evansville, IN
  • NPI 1811954076
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467506188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101614",
            "telephone_number": "812-425-5194",
            "fax_number": "812-426-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W VIRGINIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101614",
            "telephone_number": "812-425-5194",
            "fax_number": "812-426-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY GROUP OF EVANSVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLAMS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "812-425-5194",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "54000277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troyer & Altekruse DDS, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Marjorie Lomotan Oropilla-Amaya, M.D.
• Amanda Jean Orr, FNP-C
• Charlotte Ellen Orr, M.D.
• Richard Roy Orr Jr., MD

• Oral and Maxillofacial Surgery (Dentist) in Evansville, IN
• Providers in Evansville, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.