DEACONESS CLINIC INC. (NPI# 1619123585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619123585 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC INC. |
| Practice Address |
421 Chestnut St Evansville IN 47713 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124269506 |
| Practice Fax Number | 8124347942 |
| Mailing Telephone | 8124269506 |
| Mailing Fax Number | 8124347942 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2020-09-23 |
| 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 | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200910900 | 05 | |
| KY | KY MEDICAID PHYSICIAN | 7100051590 | 01 |
| KY | KY MEDICAID NP | 7100051610 | 01 |
| KY | KY MEDICAID PODIATRY | 7100051640 | 01 |
| 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 |
| 1023264306 | Deaconess Clinic Inc. | Internal Medicine | 8600 N Kentucky Ave, Evansville, IN 47725-6302 | 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 |
| 1699921585 | Deaconess Clinic Inc. | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2008-08-12 |
| Street Address |
421 CHESTNUT ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023464294 | Cleanslate Medical Group of Indiana LLC | Internal Medicine | 4411 Washington Ave Ste 105, Evansville, IN 47714-0805 | 2016-05-06 |
| 1720345929 | Adeel Mohammad Siddiqui | Internal Medicine | 350 W Columbia St Ste 310, Evansville, IN 47710-1782 | 2012-04-12 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1336201243 | Sudheer Gurram | Internal Medicine | 827 S Green River Rd, Evansville, IN 47715-4105 | 2006-12-15 |
| 1780745711 | Lakepointe Internal Medicine, LLC | Internal Medicine | 7201 E Virginia St, Ste D, Evansville, IN 47715-4072 | 2006-12-13 |
| 1811941388 | Jane E Royalty | Internal Medicine | 950 S Kenmore Dr, Evansville, IN 47714-7513 | 2006-05-20 |
| 1770548687 | Waseem Ahmad | Internal Medicine | 3801 Bellemeade Ave Ste 200c, Evansville, IN 47714-0115 | 2006-04-20 |
| 1043282627 | Bachar Malek | Internal Medicine | 4972 Lincoln Ave, Suit 101, Evansville, IN 47715-7909 | 2006-02-07 |
| 1902883291 | Karl W Sash | Internal Medicine | 3801 Bellemeade Ave Ste 200e, Evansville, IN 47714-0114 | 2005-12-28 |
| 1932192069 | Thomas E Vonderhaar | Internal Medicine | 313 W Iowa St, Evansville, IN 47710-1723 | 2005-08-24 |
| 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.