THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC (NPI# 1124292446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124292446 |
| Entity Type | Organization |
| Organization Name | THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC |
| Practice Address |
4007 Gateway Blvd Newburgh IN 47630-8947 |
| Mailing Address |
Po Box 3199 Evansville IN 47731-3199 |
| Practice Telephone | 8128424784 |
| Practice Fax Number | 8128423921 |
| Mailing Telephone | 8128424784 |
| Mailing Fax Number | 8128423921 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | MS. REBECCA MALOTTE (ADMINISTRATOR) |
| Authorized Official Telephone | 8128424783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100103930 | 05 | |
| IN | 200935230A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093948861 | The Heart Hospital At Deaconess Gateway, LLC | Internal Medicine | 4007 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-08-27 |
| Street Address |
4007 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022866 | Venkata S Yelamanchili | Internal Medicine | 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630-8947 | 2005-09-09 |
| 1598038291 | Amber Gaye Moore | Registered Nurse | 4007 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 | 2012-02-12 |
| 1093948861 | The Heart Hospital At Deaconess Gateway, LLC | Internal Medicine | 4007 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-08-27 |
| 1245416502 | Lynn S Schnautz | Nurse Practitioner | 4007 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-01-17 |
| 1083838130 | Prasanna Lakshmi Yelamanchili | Internal Medicine | 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630-8947 | 2007-04-12 |
| 1073561254 | Frank X Pamelia | Internal Medicine | 4007 Gateway Blvd, Ste100, Newburgh, IN 47630-8947 | 2006-05-04 |
| 1104874379 | James Michael Neahring | Internal Medicine | 4007 Gateway Blvd, Suite 100, Newburgh, IN 47630-8947 | 2006-05-04 |
| 1467415117 | Marlon D Jordan | Internal Medicine | 4007 Gateway Blvd, Ste 100, Newburgh, IN 47630-8947 | 2006-04-11 |
| 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 | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316324403 | Indiana Spine Hospital, LLC | Special Hospital | 13219 N. Meridian St, Carmel, IN 46032-5480 | 2015-04-28 |
| 1437407848 | Michael T Sahm | Special Hospital | 3300 Prague Rd, Indianapolis, IN 46227-7010 | 2012-08-16 |
| 1538441340 | Walgreen | Special Hospital | 1835 Pemberton Ln, Indianapolis, IN 46260-1577 | 2011-09-16 |
| 1720374374 | O'hana Heritage Foundation Inc | Special Hospital | 53131 Quince Rd, South Bend, IN 46628-9691 | 2011-06-22 |
| 1538460191 | Indiana University Medical Center | Special Hospital | 927 Paca St, Indianapolis, IN 46202-2914 | 2010-11-12 |
| 1568629178 | Indiana University School of Medicine | Special Hospital | 4024 Eldor Flower Dr, Zionsville, IN 46077-8585 | 2008-05-21 |
| 1285822023 | Yu-fan Kelly | Special Hospital | 1481 W 10th St # 116p, Indianapolis, IN 46202-2803 | 2007-10-05 |
| 1235150418 | Renaissance Specialty Hospital of Central Indiana Operations Co LLC | Special Hospital | 2401 University Ave 8th Floor North Tower, Muncie, IN 47303-3428 | 2006-07-22 |
| 1356698187 | St. Vincents Sports Performance | Special Hospital | 8227 Northwest Blvd, Suite 160, Indianapolis, IN 46278-1387 | 2012-08-10 |
| 1568740223 | St Vincent Medical Group, Inc | Special Hospital | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2011-07-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC.
| 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.