DEACONESS CLINIC, INC (NPI# 1659993582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659993582 |
Entity Type | Organization |
Organization Name | DEACONESS CLINIC, INC |
Other Organization Name | DEACONESS CLINIC MULTISPECIALTY CLINIC |
Practice Address |
1305 N Elm St Henderson KY 42420-2783 |
Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
Practice Telephone | 2708317937 |
Practice Fax Number | 2708317939 |
Mailing Telephone | 2708317939 |
Mailing Fax Number | 2708317939 |
Enumeration Date | 2020-05-14 |
Last Update Date | 2020-05-22 |
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 |
---|---|---|---|---|---|
N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Deaconess Clinic MultiSpecialty Clinic | 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 |
1528214400 | Deaconess Clinic, Inc | Psychologist | 685 Vail Street, Princeton, IN 47670-9510 | 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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DEACONESS CLINIC, INC. | 421 Chestnut St, Evansville, IN 47713-1227 |
Street Address |
1305 N ELM ST |
City | HENDERSON |
State | KY |
Zip Code | 42420-2783 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124026679 | Sheri Dawn Montgomery | Emergency Medicine | 1305 N Elm St, Er, Henderson, KY 42420-2783 | 2005-07-08 |
1144845868 | Laura L Kirk | Physician Assistant | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-06-09 |
1336768993 | Carla M Wise | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-04-14 |
1528697869 | Jessica L Utley | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2775 | 2020-04-08 |
1457987877 | Tabicia Linn Mattingly | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-03-17 |
1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
1962055863 | Methodist Health, Inc. | Pharmacy | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-19 |
1669034252 | Shelby Nichole Hite | Speech-Language Pathologist | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-03 |
1780249060 | Methodist Health, Inc. | Anesthesiology | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-05-02 |
1740753086 | Andrea Lynn Clemons | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-01-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
Find all providers in zip 42420 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1750394516 | Kuldeep Raj Pandit | Internal Medicine | 327 N Elm St, Henderson, KY 42420-2929 | 2006-08-14 |
1225645682 | Rajiv Amesur Do PC | Internal Medicine | 3001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2020-09-29 |
1992297006 | Murad M Jussa Md Pa Corp | Internal Medicine | 10301 Jeffreys St, Henderson, NV 89052-3922 | 2018-06-04 |
1851826838 | Pulmonary Intensivists of Southern Nevada | Internal Medicine | 10120 S Eastern Ave, 217, Henderson, NV 89052-3951 | 2017-04-27 |
1144547431 | John F Pinto Md Fccp | Internal Medicine | 1701 N Green Valley Pkwy, Bldg 5 Suite A, Henderson, NV 89074-5885 | 2010-04-26 |
1952533887 | Qureshi/al-owir Pllc | Internal Medicine | 10120 S Eastern Ave, Suite #120, Henderson, NV 89052-3951 | 2009-08-11 |
1700960150 | Thomson Kurian Chemplavil | Internal Medicine | 8965 S Pecos Rd, Ste 11a, Henderson, NV 89074-7159 | 2006-10-24 |
1497781330 | Pedro J Hani | Internal Medicine | 4 Sunset Way, Suite A-3, Henderson, NV 89014-2015 | 2006-06-23 |
1740221258 | Syed Akbarullah | Internal Medicine | 870 Seven Hills Dr Ste 102, Henderson, NV 89052-4378 | 2006-06-08 |
1376593145 | Murad M Jussa | Internal Medicine | 4 Sunset Way, Ste A#3, Henderson, NV 89014-2015 | 2006-05-11 |
Find all providers in HENDERSON |
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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.