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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | RR MCARE GROUP # | CG1119 | 01 |
KY | 65931586 | 05 |
Other Name | Type Code |
---|---|
Deaconess Medical Group - Specialty | 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 |
519 HARRIET ST |
City | EVANSVILLE |
State | IN |
Zip Code | 47710-1715 |
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 |
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 Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
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/ |
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 |
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 |
Find all providers with the same taxonomy |
City | EVANSVILLE |
Zip Code | 47710 |
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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.