Gregory G Ennis, M.D.
Physical Medicine & Rehabilitation in Evansville, IN. Individual provider (NPI-1).
Details
- NPI
- 1780783183
- Entity type
- Individual (NPI-1)
- Name
- Gregory G Ennis
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 22, 2006
- Last updated
- Apr 20, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 01051903A | IN | Yes |
Practice location
4100 Covert AveEvansville, IN 47714-5559
Phone 812-476-9983 · Fax 812-476-3809
Mailing address
Po Box 3276Evansville, IN 47731-3276
Phone 812-473-0181 · Fax 812-473-5822
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Physical Medicine & Rehabilitation Physician providers in Evansville · All 5,513 providers in Evansville
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