DEACONESS HOSPITAL INC (NPI# 1962665588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962665588 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL INC |
| Other Organization Name | DEACONESS PRIMARY CARE FOR SENIORS - GATEWAY |
| Practice Address |
4107 Gateway Blvd Newburgh IN 47630-8954 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8128583280 |
| Practice Fax Number | 8128583290 |
| Mailing Telephone | 8124506800 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | LINDA E WHITE (PRESIDENT & CEO) |
| Authorized Official Telephone | 8124502250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Primary Care for Seniors - Gateway | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
| 1841822327 | Deaconess Hospital Inc | Physician Assistant | 2609 New Hartford Rd, Owensboro, KY 42303-1316 | 2020-02-12 |
| 1780129957 | Deaconess Hospital Inc | Pharmacy | 421 Chestnut St, Evansville, IN 47713-1227 | 2016-12-27 |
| 1740550334 | Deaconess Hospital Inc | Pharmacy | 600 Mary St, Evansville, IN 47710-1658 | 2012-01-12 |
| 1821374836 | Deaconess Hospital Inc | Pharmacy | 600 Mary St, Evansville, IN 47710-1658 | 2011-10-24 |
| 1679890040 | Deaconess Hospital Inc | Psychologist | 310 W Iowa St, Evansville, IN 47710-1724 | 2010-04-26 |
| 1932368446 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 4015 Gateway Blvd, Newburgh, IN 47630-8925 | 2008-06-09 |
| 1366481277 | Deaconess Hospital Inc | Home Health | 701 Garfield Ave, Evansville, IN 47710-1771 | 2006-06-06 |
| 1184671232 | Deaconess Hospital Inc | Physician Assistant | 4015 Gateway Blvd, Ste 2121, Newburgh, IN 47630-8925 | 2006-05-27 |
| Street Address |
4107 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355899 | Anna Marie Gibson | Pharmacist | 4107 Gateway Blvd, Newburgh, IN 47630-8954 | 2020-04-23 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550445 | Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 | 2020-08-28 |
| 1336751312 | Indystathealthedu, LLC | Family Medicine | 5699 E 71st St Ste 1a, Indianapolis, IN 46220-3987 | 2020-08-20 |
| 1356864219 | Mobile Primary Care, LLC | Family Medicine | 14074 Trade Center Dr Ste 213, Fishers, IN 46038-4592 | 2017-07-24 |
| 1962822106 | Patient Care Services Team | Family Medicine | 939 Conner St Ste 200, Noblesville, IN 46060-2622 | 2014-04-25 |
| 1396002408 | Indiana Home Care Physicians Inc | Family Medicine | 7895 Broadway Ste V, Merrillville, IN 46410-5529 | 2012-04-13 |
| 1275802993 | Certified Physician Solutions | Family Medicine | 541 N Park Ave, Indianapolis, IN 46202-3513 | 2011-12-27 |
| 1336377670 | Nikki L O'rourke | Family Medicine | 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 | 2009-06-25 |
| 1932304417 | George W Merkle Md PC | Family Medicine | 360 N Main St Ste A, Bluffton, IN 46714-2041 | 2007-06-15 |
| 1891871026 | Mohammad A Rahmany | Family Medicine | 2914 Highway Ave, Highland, IN 46322-1656 | 2006-10-31 |
| 1780777177 | Lula G. Porter | Family Medicine | 4666 Radnor Road, Indianapolis, IN 46226-2154 | 2006-09-30 |
| Find all providers with the same taxonomy | ||||
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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.