DEACONESS CLINIC, INC (NPI# 1831711456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831711456 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC, INC |
| Practice Address |
4604 Us Highway 60 W Ste E Morganfield KY 42437-6515 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 2703895523 |
| Practice Fax Number | 2703895526 |
| Mailing Telephone | 2703895523 |
| Mailing Fax Number | 2703895526 |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |
| 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 |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic Multispecialty Union | Doing Business As Name - Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS CLINIC, INC. | 421 Chestnut St, Evansville, IN 47713-1227 |
| Street Address |
4604 US HIGHWAY 60 W STE E |
| City | MORGANFIELD |
| State | KY |
| Zip Code | 42437-6515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689232258 | Methodist Health, Inc. | Internal Medicine | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110649 | Kristin Leigh Joiner | Nurse Practitioner | 3182 State Route 1176, Morganfield, KY 42437 | 2020-10-06 |
| 1063034841 | Isaac Wayne Ervin | Physical Therapist | 129 North Morgan Street, Morganfield, KY 42437 | 2020-05-14 |
| 1023510427 | Britney Kay Ervin | Occupational Therapist | 129 N Morgan Street, Morganfield, KY 42437 | 2018-03-02 |
| 1366893570 | Molly Meacham | Speech-Language Pathologist | 414 W Mcelroy St, Morganfield, KY 42437 | 2016-06-29 |
| 1073847729 | Breckinridge Services Inc | Assisted Living Facility | 170 Sykes Boulevard, Morganfield, KY 42437 | 2009-09-29 |
| 1831380062 | Mechelle Leigh Luttrell | Occupational Therapy Assistant | 560 S.r. 2153, Morganfield, KY 42437 | 2007-08-05 |
| 1730370966 | William Goodman | Physical Therapy Assistant | 2796 S.r. 2153, Morganfield, KY 42437 | 2007-08-05 |
| 1457559833 | Amber Nalley | Occupational Therapist | 509 North Carrier Street, Morganfield, KY 42437 | 2007-07-06 |
| 1740402239 | Union County Schools | Local Education Agency (LEA) | 510 S Mart St, Morganfield, KY 42437 | 2007-05-03 |
| 1821212002 | Methodist Health, Inc. | Clinic/Center | 4604 Us Hwy 60 West, Morganfield, KY 42437 | 2007-04-12 |
| Find all providers in zip 42437 | ||||
| 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 |
|---|---|---|---|---|
| 1689232258 | Methodist Health, Inc. | Internal Medicine | 4604 Us Highway 60 W Ste E, Morganfield, KY 42437-6515 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700754 | Yasinmd Pllc | Internal Medicine | 13304 Ridgemoor Dr, Prospect, KY 40059-7139 | 2019-09-27 |
| 1841661410 | Sleep Care Specialist of Louisville | Internal Medicine | 250 E Liberty St Ste 902, Louisville, KY 40202-1538 | 2015-10-08 |
| 1780926279 | Inspired Medical Services, LLC | Internal Medicine | 9805 Brownsboro Rd, Suite 101, Louisville, KY 40241-1125 | 2013-03-22 |
| 1902146277 | Ephraim Mcdowell Health Resource, Inc | Internal Medicine | 470 Linden Ave Ste 7, Harrodsburg, KY 40330 | 2013-02-25 |
| 1518275379 | Matthew James Craig | Internal Medicine | 1225 S Broadway Ste 201, Lexington, KY 40504-2701 | 2010-09-15 |
| 1992969604 | William Benjamin Cundiff | Internal Medicine | 110 Layman Ln, Elizabethtown, KY 42701-2523 | 2008-07-11 |
| 1124297361 | Rejmon Dedaj | Internal Medicine | 2609 New Hartford Rd, Owensboro, KY 42303-1316 | 2008-02-21 |
| 1689758799 | Srinivas M Ammisetty | Internal Medicine | 9350 Us Hwy 23 South, Suite 104, Stanville, KY 41659 | 2006-10-25 |
| 1790888683 | Firas A Koura | Internal Medicine | 1138 Lexington Rd Ste 230, Georgetown, KY 40324-9672 | 2006-09-06 |
| 1669586806 | Cumberland Lung & Sleep Specialists, Psc. | Internal Medicine | 143a Bogle Office Park Dr, Somerset, KY 42503-2810 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
| City | MORGANFIELD |
| Zip Code | 42437 |
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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.