DEACONESS CLINIC, INC (NPI# 1528214400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528214400 |
Entity Type | Organization |
Organization Name | DEACONESS CLINIC, INC |
Other Organization Name | DEACONESS CLINIC I |
Practice Address |
685 Vail Street Princeton IN 47670-9510 |
Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
Practice Telephone | 8123866560 |
Practice Fax Number | 8123855015 |
Mailing Telephone | 8123866560 |
Mailing Fax Number | 8123855015 |
Enumeration Date | 2008-08-12 |
Last Update Date | 2017-08-09 |
Authorized Official Name | CHERYL A WATHEN (CFO) |
Authorized Official Telephone | 8124503296 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Deaconess Clinic I | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861961138 | Deaconess Clinic, Inc | Physician Assistant | 350 W Columbia St Ste 440, Evansville, IN 47710-1782 | 2018-11-16 |
1225468937 | Deaconess Clinic, Inc | Allergy & Immunology | 4840 S Maple Tree Dr, Princeton, IN 47670-9277 | 2013-11-15 |
1396040374 | Deaconess Clinic, Inc | Physician Assistant | 1204 Williams St., Oakland City, IN 47660-1001 | 2011-01-21 |
1043466329 | Deaconess Clinic, Inc | Pediatrics | 15814 Neeley St, Evansville, IN 47725-8420 | 2008-08-18 |
1306092192 | Deaconess Clinic, Inc | Internal Medicine | 1300 Merritt Dr, Henderson, KY 42420-2788 | 2008-08-12 |
1407804602 | Deaconess Clinic, Inc | Family Medicine | 10455 Orthopaedic Dr, Newburgh, IN 47630-7955 | 2006-05-04 |
1447862958 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
1982216495 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
1790397206 | Deaconess Clinic, Inc | Nurse Practitioner | 312 3rd Ave, Princeton, IN 47670-1014 | 2020-08-18 |
1831711456 | Deaconess Clinic, Inc | Physician Assistant | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2020-05-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DEACONESS CLINIC, INC. | 421 Chestnut St, Evansville, IN 47713-1227 |
Street Address |
685 VAIL STREET |
City | PRINCETON |
State | IN |
Zip Code | 47670-9510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659527935 | Deaconess Clinic Inc. | Podiatrist | 685 Vail Street, Princeton, IN 47670-9510 | 2008-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
Find all providers in zip 47670 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033681432 | Danielle Coppola | Internal Medicine | 2 Cleveland Ln, Princeton, NJ 08540-3050 | 2018-12-23 |
1174059885 | Oscar Alberto Perez Gutierrez | Internal Medicine | 3225 Sayre Dr, Princeton, NJ 08540-5868 | 2017-05-02 |
1982011995 | Prapti Praful Kuber | Internal Medicine | 2 Eagles Pass, Princeton, NJ 08540-8813 | 2014-07-22 |
1235487869 | Simon D. Murray, Md LLC | Internal Medicine | 727 State Rd Ste 2, Princeton, NJ 08540-1444 | 2012-08-29 |
1629332812 | Jae Young Lee | Internal Medicine | 419 N. Harrison St, Princeton, NJ 08540-4089 | 2012-07-02 |
1396016960 | Kent Stewart Allenby | Internal Medicine | 42 Christopher Dr, Princeton, NJ 08540-2321 | 2012-01-13 |
1073821898 | David R Barile Md LLC | Internal Medicine | 30 Boudinot St, Princeton, NJ 08540-3008 | 2010-09-14 |
1043538184 | Princeton Premier Medicine, LLC | Internal Medicine | 281 Witherspoon Street, Suite 220, Princeton, NJ 08542 | 2010-05-13 |
1972825057 | Tracey J. Moreno, Md, LLC | Internal Medicine | 601 Ewing St Ste C13, Princeton, NJ 08540-2758 | 2010-02-17 |
1487984803 | Constance Monroe Winslow | Internal Medicine | 283 Mount Lucas Rd, Princeton, NJ 08540-2714 | 2010-01-07 |
Find all providers in PRINCETON |
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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.