DEACONESS HOSPITAL, INC (NPI# 1174007132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174007132 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL, INC |
| Other Organization Name | DEACONESS PAIN CLINIC MOB5 |
| Practice Address |
4133 Gateway Blvd Ste 290 Newburgh IN 47630-7918 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8124507246 |
| Practice Fax Number | 8124504855 |
| Mailing Telephone | 8124507246 |
| Mailing Fax Number | 8124504855 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2019-07-12 |
| Authorized Official Name | CHERYL ANNETTE WATHEN (CFO) |
| Authorized Official Telephone | 8124503296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Pain Clinic MOB5 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1700433588 | Deaconess Hospital, Inc | Pain Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-08-26 |
| 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 STE 290 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-7918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266326 | Tarah Bracher | Nurse Practitioner | 4133 Gateway Blvd Ste 290, Newburgh, IN 47630-7918 | 2020-08-21 |
| 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 | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609258763 | Philip Michael Shumsky | Pain Medicine | 1120 West Michigan Street, Cl 626, Indianapolis, IN 46202 | 2015-06-25 |
| 1033501937 | Todd Noel Wolford | Pain Medicine | 10176 W 400 N Ste B, Michigan City, IN 46360-9009 | 2015-03-02 |
| 1376809566 | Xiaogang Jiang | Pain Medicine | 207 Sparks Ave Ste 300, Jeffersonville, IN 47130-3739 | 2012-04-02 |
| 1992981997 | Sonovu Diagnostics LLC | Pain Medicine | 17039 Mercantile Blvd, Noblesville, IN 46060-3941 | 2008-01-21 |
| 1104932185 | Institute of Comprehensive Pain Management, LLC | Pain Medicine | 30 South Emerson Avenue, Greenwood, IN 46143 | 2006-08-22 |
| 1801902192 | Harrison County Hospital | Pain Medicine | 1263 Hospital Dr, Suite 270, Corydon, IN 47112-1878 | 2006-08-21 |
| 1104878982 | Gregory Scott Masimore | Pain Medicine | 730 Executive Park Dr Ste A, Greenwood, IN 46143-3213 | 2006-05-17 |
| 1407825813 | Ryan D Loyd | Pain Medicine | 415 N 26th St., Suite 202, Lafayette, IN 47904 | 2006-03-16 |
| 1700433588 | Deaconess Hospital, Inc | Pain Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-08-26 |
| 1265996144 | Neurology and Pain Medical Associates LLC | Pain Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2019-01-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEACONESS HOSPITAL, INC.
| 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.