DEACONESS HOSPITAL, INC (NPI# 1730344326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730344326 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL, INC |
| Other Organization Name | DEACONESS MEDICAL GROUP - PEDIATRICS GPC |
| Practice Address |
4133 Gateway Blvd Newburgh IN 47630-8950 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8128535671 |
| Practice Fax Number | 8128535697 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | RICHARD M STIVERS (SR VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 8124503296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Medical Group - Pediatrics GPC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174007132 | Deaconess Hospital, Inc | Social Worker | 4133 Gateway Blvd Ste 290, Newburgh, IN 47630-7918 | 2018-09-17 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1528456522 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 2017 N Green River Rd, Evansville, IN 47715-1909 | 2014-12-30 |
| 1154577609 | Deaconess Hospital, Inc | Nurse Practitioner | 10455 Orthopaedic Drive, Newburgh, IN 47630 | 2008-08-15 |
| 1902985096 | Deaconess Hospital, Inc | Counselor | 209 N Elm St, Henderson, KY 42420-3132 | 2006-11-02 |
| 1598844680 | Deaconess Hospital, Inc | Counselor | 2792 N Us Highway 231, Rockport, IN 47635-8883 | 2006-11-02 |
| 1841303484 | Deaconess Hospital, Inc | Psychologist | 920 Frederica St Ste 1003, Owensboro, KY 42301-3075 | 2006-08-17 |
| 1821038316 | Deaconess Hospital, Inc | Family Medicine | 4600 W Lloyd Expy, Evansville, IN 47712-6517 | 2006-06-07 |
| 1861498529 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 701 Garfield Ave, Evansville, IN 47710-1771 | 2005-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS HOSPITAL, INC. | 600 Mary St, Evansville, IN 47747 |
| Street Address |
4133 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767915 | Susan Denise Mcdowell | Nurse Practitioner | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-7953 | 2005-08-15 |
| 1821308354 | Jodie A Kissel | Social Worker | 4133 Gateway Blvd, Ste 220, Newburgh, IN 47630-7953 | 2010-10-18 |
| 1568618841 | Deaconess Clinic Inc | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7918 | 2008-08-18 |
| 1093901910 | Board of Trustees of Welborn Clinic | Allergy & Immunology | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-8950 | 2007-09-25 |
| 1366636979 | Huda M Elshershari | Pediatrics | 4133 Gateway Blvd, Ste 220, Newburgh, IN 47630-7953 | 2007-08-28 |
| 1801098025 | Gurpreet B Weyer | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7953 | 2007-06-01 |
| 1174734602 | Bruce Parmer Williams | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7953 | 2007-05-25 |
| 1720116924 | Gregory S Mccord | Internal Medicine | 4133 Gateway Blvd, Suite 290, Newburgh, IN 47630-7953 | 2007-03-01 |
| 1750470530 | Evansville Surgery Center Associates, LLC | Clinic/Center | 4133 Gateway Blvd, Suite 100, Newburgh, IN 47630-8950 | 2006-10-12 |
| 1699875617 | Lynn A Bell | Social Worker | 4133 Gateway Blvd, Ste 220, Newburgh, IN 47630-8950 | 2006-09-22 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891260295 | Marilyn Serbetzian Lashlee | Pediatrics | 266 North St Ste A, Newburgh, NY 12550-3131 | 2018-10-11 |
| 1396905055 | Mercedes M Blanche | Pediatrics | 290 Broadway Ste 4, Newburgh, NY 12550-5448 | 2008-06-16 |
| 1003918871 | Alice Slade | Pediatrics | 15 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 | 2006-09-02 |
| 1639187206 | Barbara Baldwin | Pediatrics | 266 North St, Newburgh, NY 12550-3131 | 2006-08-03 |
| 1649288234 | Romana Iqbal Hosain | Pediatrics | 266 North Street, Suite A, Newburgh, NY 12550 | 2006-08-03 |
| 1942272695 | Anna M. Piotrowski | Pediatrics | 40 N Plank Rd, Newburgh, NY 12550-2116 | 2006-02-06 |
| 1194703959 | Maria C Ranola | Pediatrics | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2006-01-03 |
| 1093718405 | Julie A Hurlock | Pediatrics | 4111 Gateway Blvd, Newburgh, IN 47630-8954 | 2005-05-31 |
| 1750802740 | Pedro Zuniga Domian | Pediatrics | 147 Lake St, Newburgh, NY 12550-5263 | 2017-06-29 |
| 1790137743 | Tiffanie R. Santos | Pediatrics | 1200 Route 300, Newburgh, NY 12550-5003 | 2016-07-01 |
| Find all providers in NEWBURGH | ||||
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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.