DEACONESS HOSPITAL, INC (NPI# 1376031468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376031468 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL, INC |
| Other Organization Name | DEACONESS DIABETES PREVENTION PROGRAM - GATEWAY |
| Practice Address |
4011 Gateway Blvd Newburgh IN 47630-8947 |
| Mailing Address |
Po Box 1230 Evansville IN 47706-1230 |
| Practice Telephone | 8124269895 |
| Practice Fax Number | 8124508109 |
| Mailing Telephone | 8124269895 |
| Mailing Fax Number | 8124508109 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |
| 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 |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Deaconess Diabetes Prevention Program - Gateway | 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 |
4011 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703959 | Maria C Ranola | Pediatrics | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2006-01-03 |
| 1275145369 | Amy Sullivan | Nurse Practitioner | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2020-08-19 |
| 1649818394 | Allyson Alloway | Pharmacist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2019-12-12 |
| 1194377424 | Emily Morehead | Dietitian, Registered | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2019-07-16 |
| 1871013698 | Emily Lentz | Speech-Language Pathologist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2017-06-22 |
| 1649400623 | Michelle L Simon | Physical Therapy Assistant | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-07-23 |
| 1720214166 | Jamie Kostrzebski | Occupational Therapist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-05-29 |
| 1205000908 | Ryan Christopher Tomlinson | Anesthesiology | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-04-15 |
| 1548469331 | Mary Ann E Palmer | Speech-Language Pathologist | 4011 Gateway Blvd, Newburgh, IN 47630 | 2007-07-12 |
| 1851511745 | Deaconess Hospital, Inc | Physical Medicine & Rehabilitation | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2007-04-26 |
| Find all providers in the same location | ||||
| 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 | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079398 | Ta-kisha Jones | Health Educator | 309 N. Woodlawn Ave, Bloomington, IN 47408 | 2020-10-06 |
| 1730716812 | Debra Joann Lanning | Health Educator | 404 N Green St, Greentown, IN 46936-1127 | 2020-03-26 |
| 1245862416 | Stacey Reichenbacker | Health Educator | 604 Pineway Ct, Seymour, IN 47274-5100 | 2020-02-06 |
| 1790317964 | St. Vincent Medical Group, Inc. | Health Educator | 401 E Michigan St, Indianapolis, IN 46204-1643 | 2020-02-06 |
| 1730736620 | Deborah Pillarella | Health Educator | 801 Macarthur Blvd Ste 402, Munster, IN 46321-2919 | 2019-08-24 |
| 1528614161 | Jason Amich | Health Educator | 3965 W 106th St Ste 140, Carmel, IN 46032-7781 | 2019-08-09 |
| 1043774136 | Shelby Ann Eggers | Health Educator | 1531 13th St Ste G900, Columbus, IN 47201-1302 | 2019-01-23 |
| 1578056792 | Sara Beth Baylor | Health Educator | 1639 Kyle Dr, Evansville, IN 47720-7475 | 2018-06-12 |
| 1194213330 | Marilyn Patricia Haywood | Health Educator | 3367 Salt Creek Rd, Nashville, IN 47448-8331 | 2018-04-24 |
| 1578064119 | Dawn Elizabeth Sellers | Health Educator | 8400 Westfield Blvd, Indianapolis, IN 46240-2368 | 2018-02-27 |
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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.