DEACONESS CLINIC INC (NPI# 1972165421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972165421 |
| Entity Type | Organization |
| Organization Name | DEACONESS CLINIC INC |
| Other Organization Name | DEACONESS CLINIC - HENDERSON MOB |
| Practice Address |
1305 N Elm St Ste G Henderson KY 42420-2783 |
| Mailing Address |
Po Box 1510 Evansville IN 47706-1510 |
| Practice Telephone | 2708270064 |
| Practice Fax Number | 2708263338 |
| Mailing Telephone | 8124506815 |
| Mailing Fax Number | 8124506822 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| 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 | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Deaconess Clinic - Henderson MOB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235787425 | Deaconess Clinic Inc | Preventive Medicine | 4949 Healthy Way Ste D, Evansville, IN 47715-1180 | 2019-08-30 |
| 1457824203 | Deaconess Clinic Inc | Family Medicine | 7898 S Professional Dr, Fort Branch, IN 47648-8405 | 2019-01-04 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1942845854 | Deaconess Clinic Inc | Family Medicine | 340 Starlite Dr, Henderson, KY 42420-6102 | 2019-11-14 |
| 1679118582 | Deaconess Clinic Inc | Physician Assistant | 2242 Us Highway 41 N, Henderson, KY 42420-2375 | 2019-11-14 |
| 1013558980 | Deaconess Clinic Inc | Internal Medicine | 4209 Gateway Blvd, Newburgh, IN 47630-8900 | 2019-10-02 |
| 1609417682 | Deaconess Clinic Inc | Internal Medicine | 533 W Columbia St, Evansville, IN 47710-1617 | 2019-10-01 |
| 1093000283 | Deaconess Clinic Inc | Nurse Practitioner | 8600 University Blvd, Room Hp0091, Evansville, IN 47712-3534 | 2011-06-15 |
| 1568618841 | Deaconess Clinic Inc | Pediatrics | 4133 Gateway Blvd, 2nd Floor, Newburgh, IN 47630-7918 | 2008-08-18 |
| Street Address |
1305 N ELM ST STE G |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1275785420 | M Mazen Jamal Md PC | Internal Medicine | 10624 S Eastern Ave Ste A-158, Henderson, NV 89052-2982 | 2008-10-21 |
| 1518133206 | D S Banker M D P C | Internal Medicine | 2793 Mingary Ave, Henderson, NV 89044-0238 | 2008-05-02 |
| 1225204910 | Snehal Rohit Desai M D A Professional Corporation | Internal Medicine | 2558 Wild Ambrosia Ave, Henderson, NV 89074-2890 | 2008-05-02 |
| 1982772349 | Rajat Sood Md Ltd | Internal Medicine | 2839 Saint Rose Pkwy, 130, Henderson, NV 89052-4848 | 2006-12-01 |
| 1639242613 | Audubon Gi Psc | Internal Medicine | 1413 North Elm St, Suite 105, Henderson, KY 42420-4266 | 2006-11-16 |
| 1356442271 | Albert Mason | Internal Medicine | 2625 Wigwam Pkwy, Suite #112, Henderson, NV 89074-7325 | 2006-09-25 |
| 1467485409 | Adedayo O Mokuolu | Internal Medicine | 2510 Wigwam Pkwy Ste 102, Henderson, NV 89074-7115 | 2006-07-09 |
| 1346288958 | Bipin M Saud | Internal Medicine | 825 N Gibson Rd Ste 201, Henderson, NV 89011-1708 | 2006-06-04 |
| 1609833540 | Desha Aaron Frankel | Internal Medicine | 1040 Wigwam Pkwy, #110, Henderson, NV 89074-8171 | 2006-04-26 |
| 1578563102 | Arumugam Sivakumar | Internal Medicine | 2637 W Horizon Ridge Pkwy, Ste 140, Henderson, NV 89052-4834 | 2005-07-26 |
| Find all providers in HENDERSON | ||||
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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.