Healthcare Provider Details

I. General information

NPI: 1548221658
Provider Name (Legal Business Name): JAMES MICHAEL CONKRIGHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 E VIRGINIA ST STE D
EVANSVILLE IN
47715-4072
US

IV. Provider business mailing address

7201 E VIRGINIA ST STE D
EVANSVILLE IN
47715-4072
US

V. Phone/Fax

Practice location:
  • Phone: 812-842-0240
  • Fax: 812-842-0241
Mailing address:
  • Phone: 812-842-0240
  • Fax: 812-842-0241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number23927
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: