DEACONESS CLINIC INC. (NPI# 1669614103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669614103 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC INC. |
| Other Organization Name | DEACONESS CLINIC II |
| Practice Address |
520 Mary Street Suite 140 Evansville IN 47710-1669 |
| Mailing Address |
Po Box 3868 Evansville IN 47737-3868 |
| Practice Telephone | 8124269411 |
| Practice Fax Number | 8124269503 |
| Mailing Telephone | 8124269411 |
| Mailing Fax Number | 8124269503 |
| Enumeration Date | 2009-03-30 |
| 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 |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871749184 | Deaconess Clinic Inc. | Allergy & Immunology | 545 S Boehne Camp Rd, Evansville, IN 47712-3703 | 2008-08-18 |
| 1023264306 | Deaconess Clinic Inc. | Internal Medicine | 8600 N Kentucky Ave, Evansville, IN 47725-6302 | 2008-08-18 |
| 1659527935 | Deaconess Clinic Inc. | Podiatrist | 685 Vail Street, Princeton, IN 47670-9510 | 2008-08-18 |
| 1033365986 | Deaconess Clinic Inc. | Allergy & Immunology | 4233 Gateway Blvd, Newburgh, IN 47630-8900 | 2008-08-12 |
| 1619123585 | Deaconess Clinic Inc. | Internal Medicine | 421 Chestnut St, Evansville, IN 47713 | 2008-08-12 |
| 1699921585 | Deaconess Clinic Inc. | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2008-08-12 |
| Street Address |
520 MARY STREET SUITE 140 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225042310 | Kristi Kay Peck | Surgery | 520 Mary Street, Suite 520, Evansville, IN 47710 | 2006-07-27 |
| 1437239746 | John Frederick Doepker Jr. | Plastic Surgery | 520 Mary Street, Suite 520, Evansville, IN 47710 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1558473694 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 611 Harriet St, Suite 301, Evansville, IN 47710-1781 | 2006-08-31 |
| 1174572192 | Evansville Cancer Care, PC | Internal Medicine | 706 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-05-08 |
| 1023022118 | Maqbool A Ahmed | Internal Medicine | 421 Chestnut St, Evansville, IN 47713-1227 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728553 | Infusion Center of Indiana LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134b, Shelbyville, IN 46176-8550 | 2020-10-19 |
| 1659987832 | Vida Oncology LLC | Internal Medicine | 2150 Intelliplex Dr Ste 134, Shelbyville, IN 46176-8550 | 2020-09-22 |
| 1306256839 | Anne Catherine Meier | Internal Medicine | 1600 S Lake Park Ave Ste 1101, Hobart, IN 46342-6641 | 2014-05-06 |
| 1033451083 | Richard Brian Gaynor | Internal Medicine | Eli Lilly and Company Corporate Ctr, Indianapolis, IN 46285-0001 | 2013-03-17 |
| 1851697536 | Melhem Jabbour | Internal Medicine | 2723 S 7th St Ste O, Terre Haute, IN 47802-3562 | 2011-01-28 |
| 1760798326 | Redmond Prindiville Hogan IIi | Internal Medicine | 2808 W 44th St, Indianapolis, IN 46228-3147 | 2010-08-20 |
| 1720392798 | Mohammad Issam Abu Zaid | Internal Medicine | 535 Barnhill Drive, Rt 473, Indiana Univeristy/hematology Oncology, Indianapolis, IN 46202-5147 | 2010-08-02 |
| 1710112396 | Cancer Health Treatment Centers,p.c. | Internal Medicine | 104 Woodland Ct, Michigan City, IN 46360-7390 | 2009-05-26 |
| 1497998520 | Ashwin Kolala Vasudevamurthy | Internal Medicine | 8301 Harcourt Rd Ste 205, Indianapolis, IN 46260 | 2009-04-20 |
| 1386805307 | Vivian C Cook | Internal Medicine | 3699 Epworth Road, Newburgh, IN 47630-8909 | 2008-06-23 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
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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.