DEACONESS HOSPITAL, INC (NPI# 1790896462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790896462 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL, INC |
| Other Organization Name | DEACONESS PLASTIC AND RECONSTRUCTIVE SURGERY |
| Practice Address |
421 Chestnut St Evansville IN 47713-1227 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8124269371 |
| Practice Fax Number | 8124508102 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-11-07 |
| 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 |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Plastic and Reconstructive Surgery | 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801036132 | Sholar Center for Aesthetic Surgery | Surgery | 445 Cross Pointe Blvd., Suite 230, Evansville, IN 44715-4013 | 2009-02-26 |
| 1013164425 | Dawn M Burgess | Surgery | 2701 Lincoln Ave, Evansville, IN 47714-1627 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982050340 | Eric Pittelkow | Surgery | 545 Barnhill Drive Emerson Hall, Suite 232, Indianapolis, IN 46202 | 2016-05-04 |
| 1639577794 | Petrungaro Plastic Surgery, LLC | Surgery | 800 Macarthur Blvd Ste 21, Munster, IN 46321-2918 | 2014-12-05 |
| 1164654257 | Erin Weber | Surgery | 1801 N Senate Blvd Ste 525, Indianapolis, IN 46202-1253 | 2009-08-21 |
| 1669677142 | Jaime Marie Ranieri | Surgery | 8051 S Emerson Ave Ste 450, Indianapolis, IN 46237-8667 | 2007-06-15 |
| 1770708158 | Kimberly K Short | Surgery | 8455 Clearvista Place, Indianapolis, IN 46256-2419 | 2007-04-13 |
| 1780770255 | Belarmino T Frogozo | Surgery | 501 E Hospital Ln Ste 107, Terre Haute, IN 47802-4230 | 2006-10-04 |
| 1740223510 | Elizabeth A Grasee | Surgery | 12425 Old Meridian St, Suite #b1, Carmel, IN 46032-8724 | 2006-06-13 |
| 1578517553 | Robert E Frank | Surgery | 931 Ridge Rd, Suite A, Munster, IN 46321-1755 | 2006-05-22 |
| 1558344697 | William A Wooden | Surgery | 260 Emerson Hall, 545 Barnhill Dr, Indianapolis, IN 46202-5200 | 2005-11-22 |
| 1881690790 | Jeffrey David Wagner | Surgery | 8040 Clearvista Pkwy, Ste 570, Indianapolis, IN 46256 | 2005-06-24 |
| Find all providers with the same taxonomy | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
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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.