DEACONESS CLINIC INC. (NPI# 1699921585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699921585 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC INC. |
| Other Organization Name | DEACONESS CLINIC II |
| Practice Address |
3434 W State Road 66 Rockport IN 47635-9259 |
| Mailing Address |
Po Box 3868 Evansville IN 47737-3868 |
| Practice Telephone | 8126495061 |
| Practice Fax Number | 8126495224 |
| Mailing Telephone | 8126495061 |
| Mailing Fax Number | 8126495224 |
| Enumeration Date | 2008-08-12 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY MEDICAID PHYSICIANS | 7100051590 | 01 |
| KY | KY MEDICAID NP | 7100051610 | 01 |
| KY | KY MEDICAID PODIATRY | 7100051640 | 01 |
| IN | 200910900 | 05 |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669614103 | Deaconess Clinic Inc. | Internal Medicine | 520 Mary Street, Suite 140, Evansville, IN 47710-1669 | 2009-03-30 |
| 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 |
| Street Address |
3434 W STATE ROAD 66 |
| City | ROCKPORT |
| State | IN |
| Zip Code | 47635-9259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184791618 | Susan M Martin | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2006-11-29 |
| 1457952996 | Deaconess Clinic, Inc. | Clinic/Center | 3434 W State Road 66, Rockport, IN 47635-9259 | 2020-11-02 |
| 1346710183 | Brittany Wethington | Nurse Practitioner | 3434 W State Road 66, Rockport, IN 47635-9259 | 2018-12-04 |
| 1336695576 | Procare Healthspot, LLC | Clinic/Center | 3434 W State Road 66, Rockport, IN 47635 | 2016-08-28 |
| 1053450536 | Board of Trustees of Welborn Clinic | Durable Medical Equipment & Medical Supplies | 3434 W State Road 66, Rockport, IN 47635-9259 | 2007-02-05 |
| 1124166194 | Board of Trustees of Welborn Clinic | Radiology | 3434 W State Road 66, Rockport, IN 47635-9259 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750754750 | Bryan J Koewler | Physical Therapist | 826 N Sr 161, Suite B, Rockport, IN 47635 | 2015-11-12 |
| 1669748125 | Riverview Surgery Center LLC | Clinic/Center | 1276 N Plaza Dr, Rockport, IN 47635 | 2012-03-29 |
| 1457680688 | Rockport Ohio Township Fire Department | Non-emergency Medical Transport (VAN) | 615 Sycamore St, Rockport, IN 47635-0133 | 2009-12-17 |
| 1285784058 | Houchens Express Pharmacy LLC | Pharmacy | 815 Sycamore St, Rockport, IN 47635-1123 | 2007-01-11 |
| 1891262994 | Lifespring, Inc | Clinic/Center | 818 Madison St, Rockport, IN 47635-1241 | 2018-10-26 |
| 1629091061 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 815 Washington St, Rockport, IN 47635-1252 | 2006-07-26 |
| 1942296009 | Lisa M Miller | Nurse Practitioner | 105 S 2nd St, Rockport, IN 47635-1318 | 2005-09-23 |
| 1679833313 | Carrie Margaret Arias | Family Medicine | 105 S 2nd St, Rockport, IN 47635-1318 | 2012-05-28 |
| 1992976914 | Chrstina M. Beeler | Social Worker | 107 N 2nd St, Rockport, IN 47635-1401 | 2008-03-18 |
| 1699716316 | Mary E. Posner | Psychologist | 203 Elm St, Rockport, IN 47635-1409 | 2006-06-10 |
| Find all providers in zip 47635 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518891 | Ernest C. Alsop, Md, Pa | Family Medicine | 400 Enterprise Blvd Bldg D4, Rockport, TX 78382-4341 | 2019-09-30 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1841320926 | Robert N. Merrill | Family Medicine | 821 Commercial St, Rockport, ME 04856-4243 | 2007-03-06 |
| 1184791618 | Susan M Martin | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2006-11-29 |
| 1174632004 | Fred Dixon Warren | Family Medicine | 700 E Mimosa St, Rockport, TX 78382-4151 | 2006-08-30 |
| 1568571446 | Edwin Standifer Haun | Family Medicine | 400 Enterprise Blvd Ste 4, Rockport, TX 78382 | 2006-08-30 |
| 1437266434 | Julie H Hurley | Family Medicine | 7 Madelyn Lane, Suite 200, Rockport, ME 04856 | 2006-08-24 |
| 1265549869 | Mckim C Peterson | Family Medicine | 195 Union St, Midcoast Medicine, Pa, Rockport, ME 04856-6107 | 2006-08-23 |
| 1619084290 | Brian R Pierce | Family Medicine | 643 Rockland St, Suite C, Rockport, ME 04856-5320 | 2006-08-23 |
| 1235152760 | Judith Andersen | Family Medicine | 247 Commercial St, Suite C, Rockport, ME 04856-5964 | 2006-07-25 |
| Find all providers in ROCKPORT | ||||
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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.