DEACONESS HOSPITAL, INC (NPI# 1336152156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336152156 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL, INC |
| Other Organization Name | USI STUDENT HEALTH CENTER |
| Practice Address |
8600 University Blvd Rm Hp0091 Evansville IN 47712-3534 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8124651250 |
| Practice Fax Number | 8124657170 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2010-09-01 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100272080K | 05 | |
| IN | RR MCARE GROUP # | CG1119 | 01 |
| Other Name | Type Code |
|---|---|
| USI Student Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174007132 | Deaconess Hospital, Inc | Social Worker | 4133 Gateway Blvd Ste 290, Newburgh, IN 47630-7918 | 2018-09-17 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS HOSPITAL, INC. | 600 Mary St, Evansville, IN 47747 |
| Street Address |
8600 UNIVERSITY BLVD RM HP0091 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47712-3534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939418 | Angela K Wooton | Nurse Practitioner | 8600 University Blvd, Rm Hp0091, Evansville, IN 47712-3534 | 2005-06-01 |
| 1699232678 | Beth A Young | Dietitian, Registered | 8600 University Blvd, Evansville, IN 47712-3590 | 2019-02-26 |
| 1457719247 | Bianca Becker | Specialist/Technologist | 8600 University Blvd, Evansville, IN 47712-3534 | 2016-02-08 |
| 1760877161 | Jose Silva | Specialist/Technologist | 8600 University Blvd, Evansville, IN 47712-3534 | 2015-04-02 |
| 1245635275 | Laura Heline | Specialist/Technologist | 8600 University Blvd, Athletic Training, Evansville, IN 47712-3534 | 2014-11-04 |
| 1174946388 | Ward E Harbin | Family Medicine | 8600 University Blvd, Rm Hp0091, Evansville, IN 47712-3534 | 2014-01-23 |
| 1518218791 | Glenda Cunningham | Nurse Practitioner | 8600 University Blvd, Evansville, IN 47712-3534 | 2012-09-27 |
| 1356618045 | Kelsey Miranda Emig | Specialist/Technologist | 8600 University Blvd, Evansville, IN 47712-3534 | 2011-11-23 |
| 1093000283 | Deaconess Clinic Inc | Nurse Practitioner | 8600 University Blvd, Room Hp0091, Evansville, IN 47712-3534 | 2011-06-15 |
| 1609934769 | Philip A Wuertz | Social Worker | 8600 University Blvd, Rm Hp0091, Evansville, IN 47712-3534 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
| 1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
| 1255755807 | Laura Walker | Social Worker | 2700 W. Indiana St, Evansville, IN 47712 | 2014-02-18 |
| 1437486594 | Kristin Jane Behme | Physical Therapist | 1501-1701 Mcdowell Rd, Evansville, IN 47712 | 2009-11-11 |
| 1528223054 | Anil Kumar Reddy Manda | Dentist | 5020 West Lloyd Expwy, Ste 200, Evansville, IN 47712 | 2008-07-24 |
| 1720285778 | Abby Dawn Clinard | Physical Therapy Assistant | Westpark Rehabilitation Center, 25 S Boehne Camp Road, Evansville, IN 47712 | 2007-07-02 |
| 1487855920 | Melissa A Singer | Nurse Practitioner | 1520 Weston Rd., Evansville, IN 47712 | 2007-05-31 |
| 1144312133 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712 | 2006-09-28 |
| 1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
| Find all providers in zip 47712 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104317346 | Tri State Community Clinic, LLC | Family Medicine | 1033 E Mt. Pleasant Rd., Ste. D., Evansville, IN 47725 | 2018-05-23 |
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1598252652 | Herbert Dan Adams | Family Medicine | 501 Wyndclyff Dr, Evansville, IN 47711-2789 | 2018-04-15 |
| 1326568775 | Midwest Scope LLC | Family Medicine | 1401 Professional Blvd Ste 100, Evansville, IN 47714-8011 | 2017-06-26 |
| 1609303015 | Kyle Lemond | Family Medicine | 1000 S Green River Rd, Evansville, IN 47715-6802 | 2017-05-16 |
| 1871944041 | Anne Alexis | Family Medicine | 3801 Bellemeade Ave Ste 200b, Evansville, IN 47714-0114 | 2016-06-28 |
| 1760864987 | Jared D Mitchell | Family Medicine | 14020 Old State Rd Ste 100, Evansville, IN 47725-1121 | 2015-06-24 |
| 1396126710 | Lynniece A Kocher | Family Medicine | 8600 N Kentucky Avenue, Evansville, IN 47722 | 2015-06-11 |
| 1205194677 | Sanders Medical, LLC | Family Medicine | 2516 Washington Ave, Evansville, IN 47714-2404 | 2012-04-24 |
| 1194090308 | Kenneth E Yagodich, Md, PC | Family Medicine | 1200 Heinlein Rd, Evansville, IN 47725-6379 | 2012-03-21 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47712 |
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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.