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DEACONESS HOSPITAL INC NPI 1952325409


NPI Information

NPI: 1952325409
Provider Name: DEACONESS HOSPITAL, INC

Doing Business As: DEACONESS MEDICAL GROUP - SPECIALTY

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
519 HARRIET ST
EVANSVILLE, IN
ZIP 47710
Phone: (812) 423-9699
Get Directions

DEACONESS HOSPITAL, INC is a mohs-micrographic surgery dermatology in Evansville, IN. The provider is 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. DEACONESS HOSPITAL, INC NPI is 1952325409. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Medical Group - Specialty.

The provider's business location address is:

519 HARRIET ST
EVANSVILLE, IN
ZIP 47710-715
Phone: (812) 423-9699
Fax: (812) 434-2025

The provider's authorized official is Richard M Stivers .
The authorized official title is Sr Vice President, Cfo and has the following contact phone number (812) 450-3296.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 10/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2207RI0200XInternal MedicineInfectious DiseaseNo
3207RR0500XInternal MedicineRheumatologyNo
4207ND0101XDermatologyMOHS-Micrographic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1636570MEDICARE ID-TYPE UNSPECIFIEDINDIANAMCARE GROUP #
2CG1119MEDICARE PININDIANA
3CG1119OTHERINDIANARR MCARE GROUP #
465931586MEDICAIDKENTUCKY
5CA2202MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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