DEACONESS CLINIC, INC


Address: 1808 Sherman Dr, Princeton, IN 47670-1043
Phone: 8123867522

DEACONESS CLINIC, INC (NPI# 1447862958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447862958
Entity Type Organization
Organization Name DEACONESS CLINIC, INC
Other Organization Name DEACONESS CLINIC - GIBSON HOSPITAL SUITE 2204
Practice Address 1808 Sherman Dr
Princeton
IN 47670-1043
Mailing Address Po Box 1510
Evansville
IN 47706-1510
Practice Telephone 8123867522
Practice Fax Number 8123861097
Mailing Telephone 8123867522
Mailing Fax Number 8123861097
Enumeration Date 2020-08-18
Last Update Date 2020-08-20
Authorized Official Name CHERYL ANNETTE WATHEN (CFO)
Authorized Official Telephone 8124503296
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Deaconess Clinic - Gibson Hospital Suite 2204 Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861961138 Deaconess Clinic, Inc Physician Assistant 350 W Columbia St Ste 440, Evansville, IN 47710-1782 2018-11-16
1225468937 Deaconess Clinic, Inc Allergy & Immunology 4840 S Maple Tree Dr, Princeton, IN 47670-9277 2013-11-15
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
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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DEACONESS CLINIC, INC. 421 Chestnut St, Evansville, IN 47713-1227

Office Location

Street Address 1808 SHERMAN DR
City PRINCETON
State IN
Zip Code 47670-1043

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093718363 Rameshbhai P Patel Internal Medicine 1808 Sherman Dr, Princeton, IN 47670-1043 2005-05-31
1982216495 Deaconess Clinic, Inc Nurse Practitioner 1808 Sherman Dr, Princeton, IN 47670-1043 2020-08-18
1356975569 Gibson General Hospital Inc. Clinical Medical Laboratory 1808 Sherman Dr, Princeton, IN 47670-1043 2020-02-26
1487294468 Mary Elizabeth Garner Physical Therapist 1808 Sherman Dr, Princeton, IN 47670-1043 2020-01-08
1952941809 Becky Elizabeth Walk Speech-Language Pathologist 1808 Sherman Dr, Princeton, IN 47670-1000 2020-01-08
1972143899 Katherine M Klump Physical Therapist 1808 Sherman Dr, Princeton, IN 47670-1043 2020-01-08
1700433588 Deaconess Hospital, Inc Pain Medicine 1808 Sherman Dr, Princeton, IN 47670-1043 2019-08-26
1194381327 Hillary Goodman Speech-Language Pathologist 1808 Sherman Dr, Princeton, IN 47670-1000 2019-05-13
1700341872 Mid West Hospital Physicians, Pllc Hospitalist 1808 Sherman Dr, Princeton, IN 47670-1043 2019-02-04
1457816514 Great Lakes Emergency Physicians, Pllc Emergency Medicine 1808 Sherman Dr, Princeton, IN 47670-1043 2019-02-04
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528612587 Joan M Markison Family Medicine 22 Morven Pl, Princeton, NJ 08540-3024 2019-07-29
1619531142 Christina Sheil Family Medicine 101 Carnegie Ctr Ste 101, Princeton, NJ 08540-6231 2019-04-30
1174874200 Alegis Care - New Jersey PC Family Medicine 103 Carnegie Ctr Ste 308, Princeton, NJ 08540-6235 2012-09-28
1548557341 Nicholas Samuel Muscari Family Medicine 324 Oakvale Rd Ste 12, Princeton, WV 24740-3829 2011-06-30
1396041844 The Other Way Family Medicine 923 Cherry Hill Rd, Princeton, NJ 08540-7711 2011-02-01
1699082974 Melissa Ann Hurst Family Medicine 365 Courthouse Rd, Princeton, WV 24740-2431 2010-09-08
1023279197 Mark Leenay Family Medicine 6940 338th Ln Nw, Princeton, MN 55371-5007 2008-06-22
1619135860 Elizabeth Joanne Peterson Family Medicine 911 Northland Dr., Princeton, MN 55371-1737 2008-05-23
1346444106 Brian Zack Family Medicine 14 Hageman Ln, Princeton, NJ 08540-7547 2007-06-13
1952444234 Jana Michelle Peters Family Medicine 365 Courthouse Road, Princeton, WV 24740 2007-02-15
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Competitor

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City PRINCETON
Zip Code 47670

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Dataset Information

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.

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