DEACONESS CLINIC, INC


Address: 1035 N Elm St, Henderson, KY 42420-2712
Phone: 2708274596

DEACONESS CLINIC, INC (NPI# 1003159997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003159997
Entity Type Organization
Organization Name DEACONESS CLINIC, INC
Other Organization Name DEACONESS CLINIC I
Practice Address 1035 N Elm St
Henderson
KY 42420-2712
Mailing Address Po Box 1510
Evansville
IN 47706-1510
Practice Telephone 2708274596
Practice Fax Number 2708262838
Mailing Telephone 2708274596
Mailing Fax Number 2708262838
Enumeration Date 2013-03-29
Last Update Date 2017-08-10
Authorized Official Name CHERYL A WATHEN (CFO)
Authorized Official Telephone 8124503296
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
Physician Assistants & Advanced Practice Nursing Providers
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100051620 05

Other Provider/Organization Names

Other Name Type Code
Deaconess Clinic I Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861961138 Deaconess Clinic, Inc Physician Assistant 350 W Columbia St Ste 440, Evansville, IN 47710-1782 2018-11-16
1225468937 Deaconess Clinic, Inc Allergy & Immunology 4840 S Maple Tree Dr, Princeton, IN 47670-9277 2013-11-15
1396040374 Deaconess Clinic, Inc Physician Assistant 1204 Williams St., Oakland City, IN 47660-1001 2011-01-21
1043466329 Deaconess Clinic, Inc Pediatrics 15814 Neeley St, Evansville, IN 47725-8420 2008-08-18
1306092192 Deaconess Clinic, Inc Internal Medicine 1300 Merritt Dr, Henderson, KY 42420-2788 2008-08-12
1528214400 Deaconess Clinic, Inc Psychologist 685 Vail Street, Princeton, IN 47670-9510 2008-08-12
1407804602 Deaconess Clinic, Inc Family Medicine 10455 Orthopaedic Dr, Newburgh, IN 47630-7955 2006-05-04
1447862958 Deaconess Clinic, Inc Nurse Practitioner 1808 Sherman Dr, Princeton, IN 47670-1043 2020-08-18
1982216495 Deaconess Clinic, Inc Nurse Practitioner 1808 Sherman Dr, Princeton, IN 47670-1043 2020-08-18
1790397206 Deaconess Clinic, Inc Nurse Practitioner 312 3rd Ave, Princeton, IN 47670-1014 2020-08-18

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DEACONESS CLINIC, INC. 421 Chestnut St, Evansville, IN 47713-1227

Office Location

Street Address 1035 N ELM ST
City HENDERSON
State KY
Zip Code 42420-2712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497088090 Henderson Pediatrics, Psc Pediatrics 1035 N Elm St, Henderson, KY 42420-2712 2009-09-14
1659665529 Hometown Vision Care LLC Optometrist 1035 N Elm St, Henderson, KY 42420-2712 2011-06-08
1326359746 Sara Lynn Sagez-barnett Optometrist 1035 N Elm St, Henderson, KY 42420-2712 2010-06-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174136337 Virtual Consult Md LLC Psychiatry & Neurology 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 2020-08-27
1679062731 Maranda Wortham Miles Nurse Practitioner 2242 Hwy 41 North, Henderson, KY 42420 2018-05-04
1780124297 Lisa Lovell Nurse Practitioner 230 North Green Street, Henderson, KY 42420 2017-03-02
1437540614 Kala Hovermale Social Worker 220 2nd Street Ste 406, Henderson, KY 42420 2015-02-10
1972991537 Jessica Thomas Counselor 230 Second St, Suite 406, Henderson, KY 42420 2015-01-06
1255690962 Green River District Health Department Public Health or Welfare 631 N. Green Street, Henderson, KY 42420 2012-05-15
1588922769 Jonathan M Mosley Family Medicine 1200 Barrett Blvd, Henderson, KY 42420 2012-04-25
1093099731 Gregory Ayuk Pharmacist 402 Second Street, Henderson, KY 42420 2011-09-29
1437488137 Peter J. Doll, D.p.m. Durable Medical Equipment & Medical Supplies 323 8th St., Henderson, KY 42420 2009-12-09
1760626402 Linda Dalton Keith Nurse Practitioner 1704 2nd St, Henderson, KY 42420 2009-04-24
Find all providers in zip 42420

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669028106 Harold Zilberman, Md, Chartered Pediatrics 880 Seven Hills Dr Ste 100, Henderson, NV 89052-4372 2019-08-12
1740747542 Payton Cerda Pediatrics 2510 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-1600 2019-02-27
1922494764 Jennifer Romo Santistevan Pediatrics 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 2015-04-08
1679852891 Jung Y. Hahr Pediatrics 969 Wagner Valley St, Henderson, NV 89052-5064 2011-08-04
1174755276 Placida Martinez Pediatrics 247 Clemson St, Henderson, NV 89074-5484 2009-08-22
1306029830 Mdfamily Medical Group Pediatrics 152 Zeb Robinson Rd, Henderson, NC 27537-3577 2007-12-06
1346374238 Susan R Fernandez PC Pediatrics 2621 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-2895 2007-03-15
1750422481 Jagannath S. Surpure, M.d.p.c. Pediatrics 1600 W Sunset Rd, Suite A, Henderson, NV 89014-2654 2007-02-08
1184774093 James Allen Wayne Jr. Pediatrics 451 Ruin Creek Rd Ste 101, Henderson, NC 27536-5920 2007-01-11
1982763108 Hesham Sirsy Md Ltd Pediatrics 10950 S Eastern Ave, #100, Henderson, NV 89052-4970 2006-12-06
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 42420

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Dataset Information

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.

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