DEACONESS WOMEN'S HOSPITAL OF SOUTHERN IN, LLC (NPI# 1659558773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659558773 |
| Entity Type | Organization |
| Organization Name | DEACONESS WOMEN'S HOSPITAL OF SOUTHERN IN, LLC |
| Other Organization Name | MATERNAL FETAL MEDICINE ASSOCIATES |
| Practice Address |
4199 Gateway Blvd Ste 2600 Newburgh IN 47630-8940 |
| Mailing Address |
Po Box 3239 Evansville IN 47731-3239 |
| Practice Telephone | 8128584620 |
| Practice Fax Number | 8128584621 |
| Mailing Telephone | 8128584620 |
| Mailing Fax Number | 8128584621 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | CHRISTINA RYAN (CEO) |
| Authorized Official Telephone | 8128424200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Maternal Fetal Medicine Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023233137 | Deaconess Women's Hospital of Southern In, LLC | Physical Therapist | 4199 Gateway Blvd, Suite 3800, Newburgh, IN 47630-8940 | 2007-04-16 |
| Street Address |
4199 GATEWAY BLVD STE 2600 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354938 | Frank L. Hilton | Obstetrics & Gynecology | 4199 Gateway Blvd, Ste 2400, Newburgh, IN 47630-8967 | 2005-05-27 |
| 1366085789 | Samantha Dillman | Physician Assistant | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-10-18 |
| 1730736901 | Jessica Martin | Dietitian, Registered | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-08-22 |
| 1891342051 | Abigail Eger | Dietitian, Registered | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-08-22 |
| 1639730252 | Shelby Schroeder | Occupational Therapist | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-06-25 |
| 1376001057 | Madison Burklow | Physical Therapist | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-03-12 |
| 1134684749 | Kathryn Hurst | Registered Nurse | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-02-07 |
| 1104308089 | Summer Watt | Registered Nurse | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2018-09-06 |
| 1932612587 | Christine Pankau | Nurse Practitioner | 4199 Gateway Blvd, Suite 2300, Newburgh, IN 47630 | 2017-11-06 |
| 1477007748 | Briana Alvey | Clinical Nurse Specialist | 4199 Gateway Blvd, Suite 2500, Newburgh, IN 47630-8940 | 2016-08-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225296247 | Karenrose R Contreras | Obstetrics & Gynecology | 4199 Gateway Blvd, Suite 3100, Newburgh, IN 47630-8940 | 2008-05-27 |
| 1629011424 | Clayton Brennan Fitzpatrick | Obstetrics & Gynecology | 4199 Gateway Blvd., Suite 3100, Newburgh, IN 47630 | 2006-06-13 |
| 1699074237 | Spencer Gregory Kuper | Obstetrics & Gynecology | 4199 Gateway Blvd Ste 3100, Newburgh, IN 47630-7906 | 2011-03-22 |
| 1497866438 | Ana M Spence | Obstetrics & Gynecology | 4199 Gateway Blvd, Suite 2600, Newburgh, IN 47630-8940 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144580150 | Saint Joseph Regional Medical Center - South Bend Campus, Inc. | Obstetrics & Gynecology | 611 E Douglas Rd, Ste 406, Family Medicine Faculty Physicians, Mishawaka, IN 46545-1468 | 2012-05-23 |
| 1720100357 | Amy Renee Rouse-ho | Obstetrics & Gynecology | 2600 Roosevelt Rd Ste 200-6, Valparaiso, IN 46383-0971 | 2007-04-04 |
| 1265511323 | Regina Elizabeth Auth | Obstetrics & Gynecology | Saint Marys Medical Ctr, 3700 Washington Avenue, Evansville, IN 47750-0001 | 2006-11-02 |
| 1912081811 | Thomas A Losure | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 204, Fort Wayne, IN 46845-1707 | 2006-10-25 |
| 1023046588 | Alan M Golichowski | Obstetrics & Gynecology | 8091 Township Line Rd Ste 108, Indianapolis, IN 46260-2495 | 2006-06-30 |
| 1467488734 | Julie S Platt | Obstetrics & Gynecology | 11123 Parkview Plaza Dr., Suite 202, Fort Wayne, IN 46845 | 2006-06-25 |
| 1497236103 | Obstetrix Medical Group of Indiana, P.C. | Obstetrics & Gynecology | 8091 Township Line Rd Ste 108, Indianapolis, IN 46260-2495 | 2018-08-22 |
| 1124283858 | The Methodist Hospitals, Inc | Obstetrics & Gynecology | 600 Grant St, Gary, IN 46402-6001 | 2008-07-22 |
| 1871619825 | Anthony Shanks II | Obstetrics & Gynecology | 7120 Clearvista Dr, Ste 5900, Indianapolis, IN 46256-1621 | 2007-03-21 |
| 1851460315 | Mark A Kalchbrenner | Obstetrics & Gynecology | 11123 Parkview Plaza Dr Ste 204, Fort Wayne, IN 46845-1707 | 2006-11-07 |
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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.