DEACONESS HOSPITAL, INC


Address: 519 Harriet St, Evansville, IN 47710-1715
Phone: 8124239699

DEACONESS HOSPITAL, INC (NPI# 1952325409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952325409
Entity Type Organization
Organization Name DEACONESS HOSPITAL, INC
Other Organization Name DEACONESS MEDICAL GROUP - SPECIALTY
Practice Address 519 Harriet St
Evansville
IN 47710-1715
Mailing Address Po Box 3407
Evansville
IN 47733-3407
Practice Telephone 8124239699
Practice Fax Number 8124342025
Mailing Telephone 8124506815
Mailing Fax Number 8124506822
Enumeration Date 2006-07-27
Last Update Date 2007-10-19
Authorized Official Name RICHARD M STIVERS (SR VICE PRESIDENT, CFO)
Authorized Official Telephone 8124503296
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
Allopathic & Osteopathic Physicians
N 207RR0500X Internal Medicine
Specialization: Rheumatology
Allopathic & Osteopathic Physicians
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN RR MCARE GROUP # CG1119 01
KY 65931586 05

Other Provider/Organization Names

Other Name Type Code
Deaconess Medical Group - Specialty Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DEACONESS HOSPITAL, INC. 600 Mary St, Evansville, IN 47747

Office Location

Street Address 519 HARRIET ST
City EVANSVILLE
State IN
Zip Code 47710-1715

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639171275 Angela D Turner-brown Nurse Practitioner 519 Harriet St, Evansville, IN 47710-1715 2005-08-12
1447876503 Jordan K Morrison Nurse Practitioner 519 Harriet St, Evansville, IN 47710-1715 2020-06-24
1477112357 Taylor A Coulson Nurse Practitioner 519 Harriet St, Evansville, IN 47710-1715 2019-06-13
1316492416 Dana M Spivey Nurse Practitioner 519 Harriet St, Evansville, IN 47710-1715 2016-08-18
1205202892 Sara J Hahn Nurse Practitioner 519 Harriet St, Evansville, IN 47710-1715 2015-08-18
1336523539 Kara Willett Doucet Nurse Practitioner 519 Harriet St, Evansville, IN 47710-1715 2015-07-17
1508269432 Angi Kiewel Nurse Practitioner 519 Harriet St, Evansville, IN 47710-1715 2014-10-07
1104227115 Sarah Freeman Nurse Practitioner 519 Harriet St, Evansville, IN 47710 2014-09-09
1497169775 Caitlin E Miller Nurse Practitioner 519 Harriet St, Evansville, IN 47710-1715 2014-06-16
1659668804 Raghav Gupta Internal Medicine 519 Harriet St, Evansville, IN 47710-1715 2011-07-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659860971 Deaconess Clinic, Inc. Clinic/Center 309 N 1st Ave, Evansville, IN 47710 2018-05-02
1558858852 Amanda Marie Fox Nurse Practitioner 3838 N 1st Ave Ste E, Evansville, IN 47710 2018-04-23
1255708723 Peter Wulff Dentist 350 W Columbia St Ste 1-d, Evansville, IN 47710 2015-08-31
1427483999 Deanna Lynne Plummer Nurse Practitioner 4480 First Avenue, Evansville, IN 47710 2013-09-03
1124371067 Michael Wayne Daugherty Radiology 350 W Columbia St Ste 420, Evansville, IN 47710 2012-10-16
1316249105 Melisha Victoria Knowlden Counselor 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 2010-11-30
1609057835 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 621 W Columbia St, Evansville, IN 47710 2007-11-15
1023161478 Janet Marie Kelley Family Medicine 3838 N 1st Ave Ste C, Evansville, IN 47710 2007-01-19
1164594545 John David Diekmann Dentist 625 W Mill Rd, Evansville, IN 47710 2006-11-14
1407930977 Allan C Knapp Dds LLC Dentist 3012 N First Ave, Evansville, IN 47710 2006-10-24
Find all providers in zip 47710

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063668929 Deaconess Clinic, Inc Dermatology 519 Harriet St, Evansville, IN 47710-1715 2008-08-12
1699778050 Jane D Lim Dermatology 421 Chestnut St, Evansville, IN 47713-1227 2005-05-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578097572 Forefront Dermatology, S.c. Dermatology 4020 New Vision Drive, Fort Wayne, IN 46845 2017-04-17
1780137232 Forefront Dermatology, S.c. Dermatology 265 Quartermaster Ct, Jeffersonville, IN 47130 2016-08-02
1255782306 Forefront Dermatology, S.c. Dermatology 2130 W Sycamore St Ste 200, Kokomo, IN 46901 2016-06-29
1144680604 Forefront Dermatology, S.c. Dermatology 244 Westwood Blvd, Columbus, IN 47201 2016-02-26
1730560079 Forefront Dermatology, S.c. Dermatology 415 S Landmark Ave, Bloomington, IN 47403-5003 2015-06-12
1295771244 Carl William Hanke Dermatology 8925 N Meridian St Ste 200, Indianapolis, IN 46260-2385 2006-06-20
1821574039 Michael Kunz Dermatology 545 Barnhill Drive, Emerson Hall 139, Indianapolis, IN 46202 2018-07-11
1952769044 Forefront Dermatology, S.c. Dermatology 755 W Carmel Dr, Suite 101, Carmel, IN 46032 2016-02-03
1417335019 Forefront Dermatology, S.c. Dermatology 395 Northside Dr, Batesville, IN 47006 2015-05-14
1235534629 Forefront Dermatology, S.c. Dermatology 8325 S Emerson Ave Ste C1, Indianapolis, IN 46237 2014-10-28
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Competitor

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City EVANSVILLE
Zip Code 47710

Improve Information

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Dataset Information

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.

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