BOARD OF TRUSTEES OF WELBORN CLINIC (NPI# 1508904566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508904566 |
| Entity Type | Organization |
| Organization Name | BOARD OF TRUSTEES OF WELBORN CLINIC |
| Other Organization Name | WELBORN CLINIC IDTF HIGHLAND |
| Practice Address |
1137 W Mill Rd Evansville IN 47710-3807 |
| Practice Telephone | 8124269565 |
| Mailing Telephone | 8124269565 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-11-27 |
| Authorized Official Name | 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 Highland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003954884 | Board of Trustees of Welborn Clinic | Radiology | 401 N Richland Creek Dr, Princeton, IN 47670-3536 | 2007-02-02 |
| 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 |
| Street Address |
1137 W MILL RD |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356419840 | J Christopher Sartore | Family Medicine | 1137 W Mill Rd, Evansville, IN 47710-3807 | 2006-12-01 |
| 1437298916 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 1137 W Mill Rd, Evansville, IN 47710-3807 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| 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 |
|---|---|---|---|---|
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1275672800 | Advanced Diagnostic Imaging PC | Radiology | 319 N Saint Joseph Ave, Evansville, IN 47712-5562 | 2007-02-06 |
| 1972522126 | Advanced Diagnostic Imaging, PC | Radiology | 1120 Professional Blvd, Evansville, IN 47714-8000 | 2006-07-19 |
| 1023070208 | Thomas M. Harmon | Radiology | 6225 E Columbia St, Evansville, IN 47715-4003 | 2006-04-04 |
| 1629414420 | Pavel Morozov | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710-1782 | 2013-05-20 |
| 1679869010 | Arich Ryan Reynolds | Radiology | 3700 Washington Ave, Evansville, IN 47714 | 2011-06-23 |
| 1457687261 | Advanced Radiology Services | Radiology | 1120 Professional Blvd, Evansville, IN 47714-8000 | 2009-10-29 |
| 1932341591 | Leonid Drozhinin | Radiology | 3700 Washington Ave, Evansville, IN 47714-0541 | 2009-03-29 |
| 1932386984 | Mark Adam Hubbard | Radiology | 350 W Columbia St, Suite 420, Evansville, IN 47710-1782 | 2008-01-22 |
| 1811108244 | Craig Albert Triola | Radiology | 350 W Columbia St, Ste 420, Evansville, IN 47710-1782 | 2007-05-25 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on BOARD OF TRUSTEES OF WELBORN CLINIC.
| 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.