Provider Type Icon

DEACONESS HOSPITAL INC NPI 1457597197


NPI Information

NPI: 1457597197
Provider Name: DEACONESS HOSPITAL, INC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 15D0884766

Address:
350 W COLUMBIA ST
STE 350
EVANSVILLE, IN
ZIP 47710
Phone: (812) 450-7700
Get Directions

DEACONESS HOSPITAL, INC is a surgery in Evansville, IN. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DEACONESS HOSPITAL, INC NPI is 1457597197. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 W COLUMBIA ST
STE 350
EVANSVILLE, IN
ZIP 47710-610
Phone: (812) 450-7700
Fax: (812) 450-7705

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

The CLIA number assigned to this NPI record is 15D0884766 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2008 and was last updated on 11/14/2017.


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
1207Q00000XFamily MedicineNo
2208600000XSurgeryYes
3363L00000XNurse PractitionerNo
4364S00000XClinical Nurse SpecialistNo

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 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.