DEACONESS CLINIC INC. (NPI# 1659527935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659527935 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC INC. |
| Other Organization Name | DEACONESS CLINIC II |
| Practice Address |
685 Vail Street Princeton IN 47670-9510 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8123866650 |
| Practice Fax Number | 8123855015 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | RICHARD M STIVERS (CFO) |
| Authorized Official Telephone | 8124503296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service 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 NP | 7100051610 | 01 |
| KY | KY MEDICAID PODIATRY | 7100051640 | 01 |
| KY | KY MEDICAID PHYSICIANS | 7100051590 | 01 |
| IN | 200910700 | 05 |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic II | Doing Business As Name - Organization |
| 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 |
| 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 |
685 VAIL STREET |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-9510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528214400 | Deaconess Clinic, Inc | Psychologist | 685 Vail Street, Princeton, IN 47670-9510 | 2008-08-12 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in PRINCETON | ||||
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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.