BOARD OF TRUSTEES OF WELBORN CLINIC (NPI# 1003954884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003954884 |
| Entity Type | Organization |
| Organization Name | BOARD OF TRUSTEES OF WELBORN CLINIC |
| Other Organization Name | WELBORN CLINIC IDTF PRINCETON |
| Practice Address |
401 N Richland Creek Dr Princeton IN 47670-3536 |
| Practice Telephone | 8123866650 |
| Mailing Telephone | 8123866650 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | DR. DAVID D CHRISTESON (CEO) |
| Authorized Official Telephone | 8124266626 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Welborn Clinic IDTF Princeton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093901910 | Board of Trustees of Welborn Clinic | Allergy & Immunology | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-8950 | 2007-09-25 |
| 1801935309 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 4199 Gateway Blvd, Suite 3000, Newburgh, IN 47630-8975 | 2007-02-05 |
| 1437298916 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 1137 W Mill Rd, Evansville, IN 47710-3807 | 2007-02-05 |
| 1528107018 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 4411 Washington Ave, Evansville, IN 47714-0890 | 2007-02-05 |
| 1174662647 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2007-02-05 |
| 1194864678 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-05 |
| 1417096991 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 421 Chestnut St, Evansville, IN 47713-1227 | 2007-02-05 |
| 1053450536 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 3434 W State Road 66, Rockport, IN 47635-9259 | 2007-02-05 |
| 1184763674 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 3700 Washington Ave, Suite 2100b, Evansville, IN 47714-0541 | 2007-02-05 |
| 1568500353 | Board of Trustees of Welborn Clinic | Radiology | 4199 Gateway Blvd, Suite 3000, Newburgh, IN 47630-8940 | 2007-02-02 |
| Street Address |
401 N RICHLAND CREEK DR |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194864678 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-05 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689401 | Bay Imaging Consultants Medical Group Inc | Radiology | 54 Ettl Cir, Princeton, NJ 08540-2326 | 2018-11-28 |
| 1841558814 | John Thoburn Dundee | Radiology | 1817 Montana Rd, Princeton, KS 66078-9124 | 2012-04-27 |
| 1942578323 | Steven Mark Kaplan | Radiology | 100 Princeton Overlook, Bioclinica, Princeton, NJ 08540 | 2011-12-13 |
| 1073658936 | Neil Proshan | Radiology | 236 Cherry Hill Rd, Princeton, NJ 08540-7624 | 2007-02-20 |
| 1518062876 | Appalachian Surgical Associates, LLC | Radiology | 201 12th Street Ext, Princeton, WV 24740-2329 | 2006-09-13 |
| 1851317036 | Gwen E. Guglielmi | Radiology | 65 Maybury Hill Road, Princeton, NJ 08540-3617 | 2006-07-14 |
| 1124055538 | Melissa M Lantz | Radiology | 33 Province Line Rd, Princeton, NJ 08540-7543 | 2006-06-28 |
| 1033177951 | Theresa Anne Aquino | Radiology | 87 Lafayette Rd, Princeton, NJ 08540-3073 | 2006-05-02 |
| 1952383689 | Richard Sherwood Feinstein | Radiology | 5 Foulet Dr, Princeton, NJ 08540 | 2005-11-17 |
| 1215936463 | Enrico J Cappiello | Radiology | 200 New Hope Rd, Quail Valley Medical Center Suite 7, Princeton, WV 24740-2155 | 2005-07-19 |
| 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.