Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Surprenant

Individual provider Dermatology Physician · NPI 1265895932

David Surprenant is a Dermatology in Evansville, Indiana. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2016, 10 years ago. Practices with Deaconess Clinic Inc, a 409-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Ohio.

Years since qualifying
10
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL, IN, OH
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

120 SE 4th St
Evansville, IN 47708-1607
Phone: (812) 463-4306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3025 Governors Place Blvd, Dayton, OH 45409-1330 — (937) 293-5567

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 01085760A (IN)
Dermatology Physician Taxonomy 207N00000X · Licence 35138872 (OH)
Dermatology Physician Taxonomy 207N00000X · Licence 125070659 (IL)

Record details

NPI number1265895932
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing address120 Se 4th St, Evansville, IN 47708-1607

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Deaconess Clinic Inc — 409 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Evansville