DEACONESS CLINIC, INC (NPI# 1225468937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225468937 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC, INC |
| Other Organization Name | DEACONESS CLINIC I |
| Practice Address |
4840 S Maple Tree Dr Princeton IN 47670-9277 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124793153 |
| Practice Fax Number | 8124738166 |
| Mailing Telephone | 8124793153 |
| Mailing Fax Number | 8124738166 |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2017-08-10 |
| 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 |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | IN | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic I | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861961138 | Deaconess Clinic, Inc | Physician Assistant | 350 W Columbia St Ste 440, Evansville, IN 47710-1782 | 2018-11-16 |
| 1396040374 | Deaconess Clinic, Inc | Physician Assistant | 1204 Williams St., Oakland City, IN 47660-1001 | 2011-01-21 |
| 1043466329 | Deaconess Clinic, Inc | Pediatrics | 15814 Neeley St, Evansville, IN 47725-8420 | 2008-08-18 |
| 1306092192 | Deaconess Clinic, Inc | Internal Medicine | 1300 Merritt Dr, Henderson, KY 42420-2788 | 2008-08-12 |
| 1528214400 | Deaconess Clinic, Inc | Psychologist | 685 Vail Street, Princeton, IN 47670-9510 | 2008-08-12 |
| 1407804602 | Deaconess Clinic, Inc | Family Medicine | 10455 Orthopaedic Dr, Newburgh, IN 47630-7955 | 2006-05-04 |
| 1447862958 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
| 1982216495 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
| 1790397206 | Deaconess Clinic, Inc | Nurse Practitioner | 312 3rd Ave, Princeton, IN 47670-1014 | 2020-08-18 |
| 1831711456 | Deaconess Clinic, Inc | Physician Assistant | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2020-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS CLINIC, INC. | 421 Chestnut St, Evansville, IN 47713-1227 |
| Street Address |
4840 S MAPLE TREE DR |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-9277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285124982 | Kaci Dawn Quinn | Nurse Practitioner | 4840 S Maple Tree Dr, Princeton, IN 47670-9277 | 2018-05-17 |
| 1730587809 | Gibson General Hospital Inc | General Acute Care Hospital | 4840 S Maple Tree Dr, Princeton, IN 47670-9277 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
| 1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
| 1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
| 1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
| Find all providers in zip 47670 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646096 | Elta Group LLC | Allergy & Immunology | 9b Brookline Ct, Princeton, NJ 08540-1742 | 2018-07-26 |
| 1538144951 | Thomas M Golbert | Allergy & Immunology | 706 Alexander Rd, Princeton, NJ 08540 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538613211 | Allergy Partners, Pa | Allergy & Immunology | 100 N Curry Pike Ste 3, Bloomington, IN 47404-2593 | 2016-08-10 |
| 1285977033 | Vivian Cruz Nanagas | Allergy & Immunology | 4400 Weston Pointe Dr Ste 150, Zionsville, IN 46077 | 2013-03-30 |
| 1881946390 | Allergy Partners, Pllc | Allergy & Immunology | 9002 N Meridian St Ste 107, Indianapolis, IN 46260-5349 | 2012-10-08 |
| 1255561767 | Adam Updegraff | Allergy & Immunology | 7964 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2009-07-17 |
| 1407096167 | Summit Allergy Inc | Allergy & Immunology | 7030 Pointe Inverness Way Ste 335, Fort Wayne, IN 46804-7929 | 2009-02-20 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1083895916 | Paul D. Isenberg, M.d. Inc. | Allergy & Immunology | 1340 E. County Line Rd., Suite T, Indianapolis, IN 46227 | 2007-11-20 |
| 1174732804 | Nabeel N Farooqui | Allergy & Immunology | 11501 Cumberland Rd Ste 500, Fishers, IN 46037-7010 | 2007-05-21 |
| 1740494079 | Allergy Associates PC | Allergy & Immunology | 815 Schnier Street, Columbus, IN 47201-2619 | 2007-05-09 |
| 1497968366 | Nathan Boone Richards | Allergy & Immunology | 3003 Charlestown Xing, Suite D, New Albany, IN 47150-8302 | 2007-05-08 |
| Find all providers with the same taxonomy | ||||
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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.