BOARD OF TRUSTEES OF WELBORN CLINIC (NPI# 1306984174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306984174 |
| Entity Type | Organization |
| Organization Name | BOARD OF TRUSTEES OF WELBORN CLINIC |
| Other Organization Name | WELBORN CLINIC AMBULATORY SURGERY CENTER |
| Practice Address |
421 Chestnut St Evansville IN 47713-1227 |
| Practice Telephone | 8124269400 |
| Mailing Telephone | 8124269400 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | DAVID D CHRISTESON (CEO) |
| Authorized Official Telephone | 8124266626 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
008786 | IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Welborn Clinic Ambulatory Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003954884 | Board of Trustees of Welborn Clinic | Radiology | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-02 |
| 1093901910 | Board of Trustees of Welborn Clinic | Allergy & Immunology | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-8950 | 2007-09-25 |
| 1801935309 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 4199 Gateway Blvd, Suite 3000, Newburgh, IN 47630-8975 | 2007-02-05 |
| 1437298916 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 1137 W Mill Rd, Evansville, IN 47710-3807 | 2007-02-05 |
| 1528107018 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 4411 Washington Ave, Evansville, IN 47714-0890 | 2007-02-05 |
| 1174662647 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2007-02-05 |
| 1194864678 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-05 |
| 1417096991 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 421 Chestnut St, Evansville, IN 47713-1227 | 2007-02-05 |
| 1053450536 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 3434 W State Road 66, Rockport, IN 47635-9259 | 2007-02-05 |
| 1184763674 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 3700 Washington Ave, Suite 2100b, Evansville, IN 47714-0541 | 2007-02-05 |
| Street Address |
421 CHESTNUT ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425591 | Mary M Tadros | Internal Medicine | 421 Chestnut St, Evansville, IN 47713-1227 | 2005-05-31 |
| 1346850294 | Loren Garza | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2020-08-05 |
| 1770193864 | Sally Russell | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2020-08-04 |
| 1275189037 | Alicia Nelson | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-08-16 |
| 1700442738 | Sarah L Wagner | Physician Assistant | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-05-15 |
| 1902382757 | Mary Ellen Guthrie | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-07-16 |
| 1790273241 | Courtney J'neil May | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-04-30 |
| 1164922118 | Kitty Williams | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-16 |
| 1245730654 | Deaconess Hospital, Inc | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-13 |
| 1679072011 | Jane L Hackert | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114253093 | Crescent City Surgery Center LLC | Clinic/Center | 220 E Virginia St, Evansville, IN 47711-5530 | 2009-10-27 |
| 1821170499 | Eye Care Surgery Center of Evansville, LLC | Clinic/Center | 6540 Logan Drive, Suite 3, Evansville, IN 47715-8238 | 2006-10-20 |
| 1043204944 | Ambulatory Care Center LLC | Clinic/Center | 300 Circle Front Dr, Evansville, IN 47715-7196 | 2005-09-07 |
| 1427042316 | Ambulatory Care Center LLC | Clinic/Center | 1125 Professional Blvd, Evansville, IN 47714-8001 | 2005-09-07 |
| 1124526306 | Indiana Pain Centers-evansville LLC | Clinic/Center | 4411 Washington Ave Ste 100, Evansville, IN 47714-0805 | 2018-01-23 |
| 1538532536 | Pain Centers of Indiana - Evansville, LLC | Clinic/Center | 4411 Washington Ave, Evansville, IN 47714-0805 | 2015-11-12 |
| 1700035250 | Deaconess Welborn Surgical Holding Company, LLC | Clinic/Center | 421 Chestnut St, Evansville, IN 47713-1227 | 2008-09-09 |
| 1376708735 | Ambulatory Surgery Center for Pain Relief LLC | Clinic/Center | 2330 Lynch Rd, Suite 100b, Evansville, IN 47711-2998 | 2008-07-25 |
| 1871751024 | Ambulatory Surgery Center for Pain Relief LLC | Clinic/Center | 2330 Lynch Rd, Suite 100b, Evansville, IN 47711-2998 | 2008-05-23 |
| 1912096785 | Evansville Surgery Center Associates, LLC | Clinic/Center | 520 Mary St, Suite 130, Evansville, IN 47710-1677 | 2006-10-12 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
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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.