DEACONESS CLINIC, INC. (NPI# 1003211244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003211244 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC, INC. |
| Other Organization Name | DEACONESS CLINIC I |
| Practice Address |
350 W Columbia St Ste 200 Evansville IN 47710-1782 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124252646 |
| Practice Fax Number | 8128584586 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | CHERYL A WATHEN (CFO) |
| Authorized Official Telephone | 8124503296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic I | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492160 | Deaconess Clinic, Inc. | Clinic/Center | 315 N 1st Ave, Evansville, IN 47710-1218 | 2019-08-16 |
| 1437639119 | Deaconess Clinic, Inc. | Nurse Practitioner | 2100 N Fulton Ave, Evansville, IN 47710-2842 | 2018-08-21 |
| 1649750514 | Deaconess Clinic, Inc. | Nurse Practitioner | 2000 Lodge Ave, Evansville, IN 47714-4261 | 2018-08-20 |
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1285039420 | Deaconess Clinic, Inc. | Physician Assistant | 1414 W Broadway St, Princeton, IN 47670-1142 | 2014-10-30 |
| 1457952996 | Deaconess Clinic, Inc. | Clinic/Center | 3434 W State Road 66, Rockport, IN 47635-9259 | 2020-11-02 |
| 1740899236 | Deaconess Clinic, Inc. | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2020-07-30 |
| 1023644838 | Deaconess Clinic, Inc. | Nurse Practitioner | 1000 S Green River Rd, Evansville, IN 47715-6802 | 2020-03-13 |
| 1295391480 | Deaconess Clinic, Inc. | Family Medicine | 3346 Professional Park, Owensboro, KY 42303-4551 | 2019-05-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS CLINIC, INC. | 421 Chestnut St, Evansville, IN 47713-1227 |
| Street Address |
350 W COLUMBIA ST STE 200 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576354 | Kristen D Saale | Audiologist | 350 W Columbia St Ste 200, Evansville, IN 47710-1756 | 2020-07-28 |
| 1740807668 | Carol Jane Fritchley | Physician Assistant | 350 W Columbia St Ste 200, Evansville, IN 47710-1756 | 2020-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679731665 | Chris E Chacko | Otolaryngology | 350 W. Columbia, Suite 310, Evansville, IN 47710-1782 | 2008-05-28 |
| 1437153285 | Midwest Ear Nose and Throat Surgery, Psc | Otolaryngology | 1020 Professional Blvd, Midwest Ear Nose and Throat Surgery Psc, Evansville, IN 47714-8009 | 2005-06-09 |
| 1568722858 | Sean Patrick Larner | Otolaryngology | 1020 Professional Blvd, Evansville, IN 47714-8009 | 2012-05-21 |
| 1447519178 | Todd Joseph Wannemuehler | Otolaryngology | 350 W Columbia St Ste 310, Evansville, IN 47710 | 2012-05-15 |
| 1336463272 | Sarah Beth Jacob | Otolaryngology | 1020 Professional Blvd, Evansville, IN 47714-8009 | 2010-03-22 |
| 1023273810 | Ryan Charles Palmer | Otolaryngology | 1020 Professional Blvd, Evansville, IN 47714-8009 | 2008-07-22 |
| 1699973529 | Young Sin Paik | Otolaryngology | 1020 Professional Blvd, Evansville, IN 47714-8009 | 2007-07-03 |
| 1376502138 | Ralph Stanley Wilson | Otolaryngology | 1020 Professional Blvd, Evansville, IN 47714-8009 | 2006-03-21 |
| 1760441950 | Richard A Tibbals | Otolaryngology | 1020 Professional Blvd, Evansville, IN 47714-8009 | 2006-03-17 |
| 1649244856 | David T Wahle | Otolaryngology | 350 W Columbia St, Suite 310, Evansville, IN 47710-1782 | 2006-02-14 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.