DEACONESS CLINIC INC. NPI 1083472369

NPI Information

  • NPI: 1083472369
  • Provider Name: DEACONESS CLINIC, INC.
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • :
  • Address: 801 FELSTEAD RD STE 100
    EVANSVILLE, IN
    ZIP 47712
  • Phone: (812) 426-9480

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NPI Details

DEACONESS CLINIC, INC. is a pediatrics in Evansville, IN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DEACONESS CLINIC, INC. NPI is 1083472369. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

801 FELSTEAD RD STE 100
EVANSVILLE, IN
ZIP 47712-638
Phone: (812) 426-9480
Fax: (812) 426-9591

The provider's authorized official is Cheryl Annette Wathen .
The authorized official title is Cfo and has the following contact phone number (812) 450-3296.

The enumeration date for this NPI number is 3/11/2024 and was last updated on 3/20/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208000000XPediatricsYes

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: 11/21/2025

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