DEACONESS CLINIC INC NPI 1437066875

NPI Information

  • NPI: 1437066875
  • Provider Name: DEACONESS CLINIC, INC
  • Classification: Pediatrics - 2080P0206X
  • Specialization: Pediatric Gastroenterology
  • Entity Type: Organization
  • Address: 1305 N ELM ST
    HENDERSON, KY
    ZIP 42420
  • Phone: (812) 490-9300

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NPI Details

DEACONESS CLINIC, INC is a pediatric gastroenterology pediatrics in Henderson, KY. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DEACONESS CLINIC, INC NPI is 1437066875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1305 N ELM ST
HENDERSON, KY
ZIP 42420-783
Phone: (812) 490-9300

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 8/24/2026 and was last updated on 8/24/2026.

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
12080P0206XPediatricsPediatric GastroenterologyYes
2363A00000XPhysician AssistantNo
3363L00000XNurse PractitionerNo

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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