DEACONESS HOSPITAL, INC (NPI# 1699921098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699921098 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL, INC |
| Other Organization Name | DEACONESS CRITICAL CARE GROUP - CHESTNUT |
| Practice Address |
421 Chestnut St Evansville IN 47713-1227 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8124506815 |
| Practice Fax Number | 8124506822 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | RICHARD M STIVERS (SR VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 8124503296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Critical Care Group - Chestnut | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174007132 | Deaconess Hospital, Inc | Social Worker | 4133 Gateway Blvd Ste 290, Newburgh, IN 47630-7918 | 2018-09-17 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1528456522 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 2017 N Green River Rd, Evansville, IN 47715-1909 | 2014-12-30 |
| 1154577609 | Deaconess Hospital, Inc | Nurse Practitioner | 10455 Orthopaedic Drive, Newburgh, IN 47630 | 2008-08-15 |
| 1902985096 | Deaconess Hospital, Inc | Counselor | 209 N Elm St, Henderson, KY 42420-3132 | 2006-11-02 |
| 1598844680 | Deaconess Hospital, Inc | Counselor | 2792 N Us Highway 231, Rockport, IN 47635-8883 | 2006-11-02 |
| 1841303484 | Deaconess Hospital, Inc | Psychologist | 920 Frederica St Ste 1003, Owensboro, KY 42301-3075 | 2006-08-17 |
| 1821038316 | Deaconess Hospital, Inc | Family Medicine | 4600 W Lloyd Expy, Evansville, IN 47712-6517 | 2006-06-07 |
| 1861498529 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 701 Garfield Ave, Evansville, IN 47710-1771 | 2005-06-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS HOSPITAL, INC. | 600 Mary St, Evansville, IN 47747 |
| Street Address |
421 CHESTNUT ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425591 | Mary M Tadros | Internal Medicine | 421 Chestnut St, Evansville, IN 47713-1227 | 2005-05-31 |
| 1346850294 | Loren Garza | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2020-08-05 |
| 1770193864 | Sally Russell | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2020-08-04 |
| 1275189037 | Alicia Nelson | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-08-16 |
| 1700442738 | Sarah L Wagner | Physician Assistant | 421 Chestnut St, Evansville, IN 47713-1227 | 2019-05-15 |
| 1902382757 | Mary Ellen Guthrie | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-07-16 |
| 1790273241 | Courtney J'neil May | Nurse Practitioner | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-04-30 |
| 1164922118 | Kitty Williams | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-16 |
| 1245730654 | Deaconess Hospital, Inc | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-13 |
| 1679072011 | Jane L Hackert | Health Educator | 421 Chestnut St, Evansville, IN 47713-1227 | 2018-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| 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 |
|---|---|---|---|---|
| 1215268875 | Roy Mason Arnold | Internal Medicine | 525 Audubon Dr, Evansville, IN 47715-3605 | 2010-01-21 |
| 1801939749 | Freedom Healthcare, Inc. | Internal Medicine | 1215 Washington Sq, Evansville, IN 47715-6807 | 2007-02-14 |
| 1164852539 | St Mary's Medical Group, LLC | Internal Medicine | 3700 Washington Ave, Evansville, IN 47750-0001 | 2013-11-20 |
| 1659668804 | Raghav Gupta | Internal Medicine | 519 Harriet St, Evansville, IN 47710-1715 | 2011-07-07 |
| 1295049377 | Ahmed Jawad | Internal Medicine | 519 Harriet St, Evansville, IN 47710-1715 | 2010-08-02 |
| 1356676480 | Khawaja Ahmed Salman Zaki | Internal Medicine | 519 Harriet St, Evansville, IN 47710-1715 | 2009-10-07 |
| 1164653804 | Tameem Al-aqtash | Internal Medicine | 519 Harriet St, Evansville, IN 47710-1715 | 2009-07-29 |
| 1629207253 | Matthew Alva Tucker | Internal Medicine | 519 Harriet St, Evansville, IN 47710-1715 | 2009-07-02 |
| 1265651798 | Robert Kenneth Spear Jr. | Internal Medicine | 420 Mulberry St, Evansville, IN 47713-1231 | 2007-04-24 |
| 1942376116 | Kurt D Bottles | Internal Medicine | 611 Harriet St, Ste 504, Evansville, IN 47710-1781 | 2006-11-28 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
Please comment or provide details below to improve the information on DEACONESS HOSPITAL, INC.
| 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.