DEACONESS HOSPITAL, INC (NPI# 1851511745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851511745 |
| Entity Type | Organization |
| Organization Name | DEACONESS HOSPITAL, INC |
| Other Organization Name | DEACONESS NEURO TRANSITIONAL CARE CLINIC |
| Practice Address |
4011 Gateway Blvd Newburgh IN 47630-8947 |
| Mailing Address |
Po Box 3407 Evansville IN 47733-3407 |
| Practice Telephone | 8128422701 |
| Practice Fax Number | 8128422717 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-10-25 |
| 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 |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200226410L | 05 |
| Other Name | Type Code |
|---|---|
| Deaconess Neuro Transitional Care Clinic | Doing Business As Name - Organization |
| Deaconess Ortho Neuro Multispecialty Clinic | 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 |
4011 GATEWAY BLVD |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-8947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194703959 | Maria C Ranola | Pediatrics | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2006-01-03 |
| 1275145369 | Amy Sullivan | Nurse Practitioner | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2020-08-19 |
| 1649818394 | Allyson Alloway | Pharmacist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2019-12-12 |
| 1194377424 | Emily Morehead | Dietitian, Registered | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2019-07-16 |
| 1376031468 | Deaconess Hospital, Inc | Health Educator | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2018-04-25 |
| 1871013698 | Emily Lentz | Speech-Language Pathologist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2017-06-22 |
| 1649400623 | Michelle L Simon | Physical Therapy Assistant | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-07-23 |
| 1720214166 | Jamie Kostrzebski | Occupational Therapist | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2009-05-29 |
| 1205000908 | Ryan Christopher Tomlinson | Anesthesiology | 4011 Gateway Blvd, Newburgh, IN 47630-8947 | 2008-04-15 |
| 1548469331 | Mary Ann E Palmer | Speech-Language Pathologist | 4011 Gateway Blvd, Newburgh, IN 47630 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699933796 | Thomas Jerome Rusche | Psychiatry & Neurology | 6566 Sharon Rd, Newburgh, IN 47630-1939 | 2008-05-27 |
| 1245218817 | Venkatesha Reddy | Psychiatry & Neurology | 4 Victory Ct, Newburgh, NY 12550-1745 | 2006-01-04 |
| 1649534496 | Tanaporn Rasameesoraj | Psychiatry & Neurology | 4233 Gateway Blvd, Newburgh, IN 47630 | 2012-06-26 |
| 1295949279 | Olga Fishman | Psychiatry & Neurology | 1200 Route 300, Newburgh, NY 12550-5003 | 2007-05-09 |
| 1700959988 | John T Hughes | Psychiatry & Neurology | 275 North St, Suite 4, Newburgh, NY 12550-3143 | 2006-11-16 |
| 1669587093 | Syed Nasir | Psychiatry & Neurology | 5159 Route 9w, Suite B, Newburgh, NY 12550-1452 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1124430376 | Brooke Felicia Walls | Psychiatry & Neurology | 940 W 10th St, 2416, Indianapolis, IN 46202-4807 | 2014-05-22 |
| 1124453279 | Midwest Neurology Associates PC | Psychiatry & Neurology | 1100 Joliet St Ste 201, Dyer, IN 46311-1995 | 2013-09-09 |
| 1235577065 | Ryan William Pappas | Psychiatry & Neurology | 2000 Roosevelt Rd Ste 207, Valparaiso, IN 46383-2802 | 2013-06-14 |
| 1467794271 | William Louis Conte | Psychiatry & Neurology | 200 E 89th Ave # B, Merrillville, IN 46410 | 2013-03-19 |
| 1285997494 | Jordan D Raynor | Psychiatry & Neurology | 1050 Reid Pkwy., Ste. 210, Richmond, IN 47374-1160 | 2012-06-21 |
| 1578820510 | Cindy Joseph | Psychiatry & Neurology | 759 45th St, 104, Munster, IN 46321-2939 | 2012-04-16 |
| 1851657373 | Kathryn Nevel | Psychiatry & Neurology | 355 W 16th St Ste 5400, Indianapolis, IN 46202-2393 | 2012-04-10 |
| 1336414499 | Michiana Neurologic Medicine, PC | Psychiatry & Neurology | 229 Red Coach Dr Ste 105, Mishawaka, IN 46545-3195 | 2012-03-21 |
| Find all providers with the same taxonomy | ||||
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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.