DEACONESS CLINIC, INC


Address: 1305 N Elm St, Henderson, KY 42420-2783
Phone: 2708317937

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Deaconess Clinic MultiSpecialty Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DEACONESS CLINIC, INC. 421 Chestnut St, Evansville, IN 47713-1227

Office Location

Street Address 1305 N ELM ST
City HENDERSON
State KY
Zip Code 42420-2783

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City HENDERSON
Zip Code 42420

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Dataset Information

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.

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