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DEACONESS CLINIC INC. NPI 1619123585


NPI Information

NPI: 1619123585
Provider Name: DEACONESS CLINIC INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
421 CHESTNUT ST
EVANSVILLE, IN
ZIP 47713
Phone: (812) 426-9506
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DEACONESS CLINIC INC. is an internal medicine in Evansville, IN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DEACONESS CLINIC INC. NPI is 1619123585. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 CHESTNUT ST
EVANSVILLE, IN
ZIP 47713
Phone: (812) 426-9506
Fax: (812) 434-7942

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 enumeration date for this NPI number is 8/12/2008 and was last updated on 9/23/2020.


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
1207RN0300XInternal MedicineNephrologyNo
2207RR0500XInternal MedicineRheumatologyNo
3207K00000XAllergy & ImmunologyNo
4207RI0200XInternal MedicineInfectious DiseaseNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207RG0100XInternal MedicineGastroenterologyNo
7207RH0003XInternal MedicineHematology & OncologyNo
8231H00000XAudiologistNo
92080P0206XPediatricsPediatric GastroenterologyNo
10213E00000XPodiatristNo
11363A00000XPhysician AssistantNo
12363L00000XNurse PractitionerNo
13363LA2100XNurse PractitionerAcute CareNo
14363LF0000XNurse PractitionerFamilyNo
15207R00000XInternal MedicineYes

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
1200910900MEDICAIDINDIANA
27100051590OTHERKENTUCKYKY MEDICAID PHYSICIAN
37100051610OTHERKENTUCKYKY MEDICAID NP
47100051640OTHERKENTUCKYKY MEDICAID PODIATRY

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.