DEACONESS CLINIC INC (NPI# 1568618841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568618841 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC INC |
| Other Organization Name | DEACONESS CLINIC I |
| Practice Address |
4133 Gateway Blvd 2nd Floor Newburgh IN 47630-7918 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 8128535671 |
| Practice Fax Number | 8128535697 |
| Mailing Telephone | 8128535671 |
| Mailing Fax Number | 8128535697 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2017-08-10 |
| 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 | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic I | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787425 | Deaconess Clinic Inc | Preventive Medicine | 4949 Healthy Way Ste D, Evansville, IN 47715-1180 | 2019-08-30 |
| 1972165421 | Deaconess Clinic Inc | Nurse Practitioner | 1305 N Elm St Ste G, Henderson, KY 42420-2783 | 2019-07-05 |
| 1457824203 | Deaconess Clinic Inc | Family Medicine | 7898 S Professional Dr, Fort Branch, IN 47648-8405 | 2019-01-04 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1942845854 | Deaconess Clinic Inc | Family Medicine | 340 Starlite Dr, Henderson, KY 42420-6102 | 2019-11-14 |
| 1679118582 | Deaconess Clinic Inc | Physician Assistant | 2242 Us Highway 41 N, Henderson, KY 42420-2375 | 2019-11-14 |
| 1013558980 | Deaconess Clinic Inc | Internal Medicine | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2019-10-02 |
| 1609417682 | Deaconess Clinic Inc | Internal Medicine | 533 W Columbia St, Evansville, IN 47710-1617 | 2019-10-01 |
| 1093000283 | Deaconess Clinic Inc | Nurse Practitioner | 8600 University Blvd, Room Hp0091, Evansville, IN 47712-3534 | 2011-06-15 |
| Street Address |
4133 GATEWAY BLVD 2ND FLOOR |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-7918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767915 | Susan Denise Mcdowell | Nurse Practitioner | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-7953 | 2005-08-15 |
| 1821308354 | Jodie A Kissel | Social Worker | 4133 Gateway Blvd, Ste 220, Newburgh, IN 47630-7953 | 2010-10-18 |
| 1730344326 | Deaconess Hospital, Inc | Pediatrics | 4133 Gateway Blvd, Newburgh, IN 47630-8950 | 2008-07-23 |
| 1093901910 | Board of Trustees of Welborn Clinic | Allergy & Immunology | 4133 Gateway Blvd, Suite 220, Newburgh, IN 47630-8950 | 2007-09-25 |
| 1366636979 | Huda M Elshershari | Pediatrics | 4133 Gateway Blvd, Ste 220, Newburgh, IN 47630-7953 | 2007-08-28 |
| 1801098025 | Gurpreet B Weyer | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7953 | 2007-06-01 |
| 1174734602 | Bruce Parmer Williams | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7953 | 2007-05-25 |
| 1720116924 | Gregory S Mccord | Internal Medicine | 4133 Gateway Blvd, Suite 290, Newburgh, IN 47630-7953 | 2007-03-01 |
| 1750470530 | Evansville Surgery Center Associates, LLC | Clinic/Center | 4133 Gateway Blvd, Suite 100, Newburgh, IN 47630-8950 | 2006-10-12 |
| 1699875617 | Lynn A Bell | Social Worker | 4133 Gateway Blvd, Ste 220, Newburgh, IN 47630-8950 | 2006-09-22 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891260295 | Marilyn Serbetzian Lashlee | Pediatrics | 266 North St Ste A, Newburgh, NY 12550-3131 | 2018-10-11 |
| 1396905055 | Mercedes M Blanche | Pediatrics | 290 Broadway Ste 4, Newburgh, NY 12550-5448 | 2008-06-16 |
| 1003918871 | Alice Slade | Pediatrics | 15 Hdsn Vly Prof Plz, Newburgh, NY 12550-3150 | 2006-09-02 |
| 1639187206 | Barbara Baldwin | Pediatrics | 266 North St, Newburgh, NY 12550-3131 | 2006-08-03 |
| 1649288234 | Romana Iqbal Hosain | Pediatrics | 266 North Street, Suite A, Newburgh, NY 12550 | 2006-08-03 |
| 1942272695 | Anna M. Piotrowski | Pediatrics | 40 N Plank Rd, Newburgh, NY 12550-2116 | 2006-02-06 |
| 1194703959 | Maria C Ranola | Pediatrics | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2006-01-03 |
| 1093718405 | Julie A Hurlock | Pediatrics | 4111 Gateway Blvd, Newburgh, IN 47630-8954 | 2005-05-31 |
| 1750802740 | Pedro Zuniga Domian | Pediatrics | 147 Lake St, Newburgh, NY 12550-5263 | 2017-06-29 |
| 1790137743 | Tiffanie R. Santos | Pediatrics | 1200 Route 300, Newburgh, NY 12550-5003 | 2016-07-01 |
| Find all providers in NEWBURGH | ||||
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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.