DEACONESS CLINIC INC. (NPI# 1023264306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023264306 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC INC. |
| Practice Address |
8600 N Kentucky Ave Evansville IN 47725-6302 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124269565 |
| Practice Fax Number | 8124269572 |
| Mailing Telephone | 8124269565 |
| Mailing Fax Number | 8124269572 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2020-10-27 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY MEDICAID PHYSICIAN | 7100051590 | 01 |
| KY | KY MEDICAID PODIATRY | 7100051640 | 01 |
| KY | KY MEDICAID NP | 7100051610 | 01 |
| IN | 200910900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669614103 | Deaconess Clinic Inc. | Internal Medicine | 520 Mary Street, Suite 140, Evansville, IN 47710-1669 | 2009-03-30 |
| 1871749184 | Deaconess Clinic Inc. | Allergy & Immunology | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2008-08-18 |
| 1659527935 | Deaconess Clinic Inc. | Podiatrist | 685 Vail Street, Princeton, IN 47670-9510 | 2008-08-18 |
| 1033365986 | Deaconess Clinic Inc. | Allergy & Immunology | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2008-08-12 |
| 1619123585 | Deaconess Clinic Inc. | Internal Medicine | 421 Chestnut St, Evansville, IN 47713 | 2008-08-12 |
| 1699921585 | Deaconess Clinic Inc. | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2008-08-12 |
| Street Address |
8600 N KENTUCKY AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47725-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790851897 | James E Gutmann | Family Medicine | 8600 N Kentucky Ave, Evansville, IN 47725-6302 | 2006-11-28 |
| 1700444171 | Audrey M Allen | Nurse Practitioner | 8600 N Kentucky Ave, Evansville, IN 47725-6302 | 2019-05-31 |
| 1003311309 | Megan E Tate | Nurse Practitioner | 8600 N Kentucky Ave, Evansville, IN 47725 | 2018-03-28 |
| 1811208820 | Lauren Flittner Veazey | Family Medicine | 8600 N Kentucky Ave, Evansville, IN 47725-6302 | 2010-06-24 |
| 1275600371 | Michael T Myers | Family Medicine | 8600 N Kentucky Ave, Evansville, IN 47725-6302 | 2006-11-30 |
| 1720154842 | Tammy J Hargett | Nurse Practitioner | 8600 N Kentucky Ave, Evansville, IN 47725-6302 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
| 1235502774 | Hook-superx, L.L.C. | Registered Nurse | 600 E Boonville New Harmony Rd, Evansville, IN 47725 | 2015-11-05 |
| 1346556388 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 511 E. Boonville - New Harmony Rd, Evansville, IN 47725 | 2010-08-27 |
| 1720112071 | Roger Lee Tindle | Pharmacist | 12500 N Hwy 41, Evansville, IN 47725 | 2007-03-16 |
| 1750413670 | Elizabeth Marilyn Hobbs | Physical Therapy Assistant | 8700a N. Kentucky Ave, Evansville North -phr, Evansville, IN 47725 | 2007-03-09 |
| 1134215841 | Cindy K Mcwilliams | Speech-Language Pathologist | 15601 Darmstadt Road, Evansville, IN 47725 | 2006-10-04 |
| 1891735171 | Brian Becker | Anesthesiology | 13000 Woodland Ln, Evansville, IN 47725 | 2006-06-07 |
| 1316497811 | St. Mary's Medical Center of Evansville | Pharmacy | 14020 Old State Rd, Evansville, IN 47725 | 2016-10-07 |
| 1730560376 | Megan J York | Pediatrics | 14020 Old State Rd # 300, Evansville, IN 47725 | 2015-06-09 |
| 1760864987 | Jared D Mitchell | Family Medicine | 14020 Old State Rd Ste 100, Evansville, IN 47725-1121 | 2015-06-24 |
| Find all providers in zip 47725 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1598252652 | Herbert Dan Adams | Family Medicine | 501 Wyndclyff Dr, Evansville, IN 47711-2789 | 2018-04-15 |
| 1326568775 | Midwest Scope LLC | Family Medicine | 1401 Professional Blvd Ste 100, Evansville, IN 47714-8011 | 2017-06-26 |
| 1609303015 | Kyle Lemond | Family Medicine | 1000 S Green River Rd, Evansville, IN 47715-6802 | 2017-05-16 |
| 1871944041 | Anne Alexis | Family Medicine | 3801 Bellemeade Ave Ste 200b, Evansville, IN 47714-0114 | 2016-06-28 |
| 1760864987 | Jared D Mitchell | Family Medicine | 14020 Old State Rd Ste 100, Evansville, IN 47725-1121 | 2015-06-24 |
| 1396126710 | Lynniece A Kocher | Family Medicine | 8600 N Kentucky Avenue, Evansville, IN 47722 | 2015-06-11 |
| 1205194677 | Sanders Medical, LLC | Family Medicine | 2516 Washington Ave, Evansville, IN 47714-2404 | 2012-04-24 |
| 1194090308 | Kenneth E Yagodich, Md, PC | Family Medicine | 1200 Heinlein Rd, Evansville, IN 47725-6379 | 2012-03-21 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47725 |
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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.