DEACONESS CLINIC, INC. (NPI# 1558766790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558766790 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC, INC. |
| Practice Address |
1808 Sherman Dr Princeton IN 47670-1043 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8124252646 |
| Practice Fax Number | 8128584586 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2018-02-14 |
| 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 | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492160 | Deaconess Clinic, Inc. | Clinic/Center | 315 N 1st Ave, Evansville, IN 47710-1218 | 2019-08-16 |
| 1437639119 | Deaconess Clinic, Inc. | Nurse Practitioner | 2100 N Fulton Ave, Evansville, IN 47710-2842 | 2018-08-21 |
| 1649750514 | Deaconess Clinic, Inc. | Nurse Practitioner | 2000 Lodge Ave, Evansville, IN 47714-4261 | 2018-08-20 |
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1285039420 | Deaconess Clinic, Inc. | Physician Assistant | 1414 W Broadway St, Princeton, IN 47670-1142 | 2014-10-30 |
| 1003211244 | Deaconess Clinic, Inc. | Audiologist | 350 W Columbia St Ste 200, Evansville, IN 47710-1782 | 2014-10-30 |
| 1457952996 | Deaconess Clinic, Inc. | Clinic/Center | 3434 W State Road 66, Rockport, IN 47635-9259 | 2020-11-02 |
| 1740899236 | Deaconess Clinic, Inc. | Nurse Practitioner | 4144 Wyntree Dr, Newburgh, IN 47630-2521 | 2020-07-30 |
| 1023644838 | Deaconess Clinic, Inc. | Nurse Practitioner | 1000 S Green River Rd, Evansville, IN 47715-6802 | 2020-03-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS CLINIC, INC. | 421 Chestnut St, Evansville, IN 47713-1227 |
| Street Address |
1808 SHERMAN DR |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718363 | Rameshbhai P Patel | Internal Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2005-05-31 |
| 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 |
| 1356975569 | Gibson General Hospital Inc. | Clinical Medical Laboratory | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-02-26 |
| 1487294468 | Mary Elizabeth Garner | Physical Therapist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-01-08 |
| 1952941809 | Becky Elizabeth Walk | Speech-Language Pathologist | 1808 Sherman Dr, Princeton, IN 47670-1000 | 2020-01-08 |
| 1972143899 | Katherine M Klump | Physical Therapist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-01-08 |
| 1700433588 | Deaconess Hospital, Inc | Pain Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-08-26 |
| 1194381327 | Hillary Goodman | Speech-Language Pathologist | 1808 Sherman Dr, Princeton, IN 47670-1000 | 2019-05-13 |
| 1700341872 | Mid West Hospital Physicians, Pllc | Hospitalist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-02-04 |
| Find all providers in the same location | ||||
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932412087 | Ronald Li, Md PC | Otolaryngology | 812 Executive Dr, Princeton, NJ 08540-1530 | 2010-07-19 |
| 1396946562 | Eugenie Brunner, M.d. | Otolaryngology | 256 Bunn Dr., Princeton, NJ 08540 | 2007-05-29 |
| 1154365450 | Gerald D. Suh | Otolaryngology | 10 Forrestal Rd S Ste 206, Princeton, NJ 08540-6666 | 2006-06-16 |
| 1215058128 | Nicole Annette Schrader-barile | Otolaryngology | 256 Bunn Dr Ste A, Princeton, NJ 08540-2859 | 2007-04-02 |
| 1043326762 | Lee E Smith Md & Robert M Jones Mdpc | Otolaryngology | 100 New Hope Rd, Suite 20, Princeton, WV 24740-2143 | 2006-08-23 |
| 1215043948 | Robert March Jones Jr. | Otolaryngology | 508 New Hope Rd, Suite 20, Princeton, WV 24740-2143 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477182988 | Allergy and Audiology Services of Northwest Indiana LLC | Otolaryngology | 900 Ridge Rd Ste E, Munster, IN 46321-1727 | 2020-04-06 |
| 1881221208 | Morgan Sandelski | Otolaryngology | 2015 Central Ave, Indianapolis, IN 46202-1634 | 2020-03-25 |
| 1922562339 | Transcend Anesthesia, PC | Otolaryngology | 1655 N Gladstone Ave Ste E, Columbus, IN 47201-5380 | 2019-01-30 |
| 1023523610 | Family Ent Specialists, LLC | Otolaryngology | 3200 Sycamore Ct Ste 1d, Columbus, IN 47203-1545 | 2017-12-05 |
| 1699295956 | David Joseph Trout | Otolaryngology | 816 Lazy Ln, Lafayette, IN 47904-2722 | 2017-06-27 |
| 1437687126 | Dhruv Sharma | Otolaryngology | 1130 W Michigan St # Fh400, Indianapolis, IN 46202-5209 | 2017-05-25 |
| 1235585878 | Alhasan Najib Elghouche | Otolaryngology | 12860 University Cres, Apt 1a, Carmel, IN 46032-9472 | 2016-05-13 |
| 1093133415 | Bruce Jordan Hopkins | Otolaryngology | 1569 Preston Trl, Carmel, IN 46032-8970 | 2014-04-02 |
| 1861813776 | Rachael L Raffle | Otolaryngology | 1429 N 6th St Fl 3, Terre Haute, IN 47807-1019 | 2013-12-18 |
| 1043658818 | Jessica A. Yesensky | Otolaryngology | 1544 Carrollton Ave, Indianapolis, IN 46202-2717 | 2013-06-13 |
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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.