DEACONESS CLINIC INC NPI 1659993582

NPI Information

  • NPI: 1659993582
  • Provider Name: DEACONESS CLINIC, INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Doing Business As: DEACONESS CLINIC MULTISPECIALTY CLINIC
  • Address: 1305 N ELM ST
    HENDERSON, KY
    ZIP 42420
  • Phone: (270) 831-7937

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NPI Details

DEACONESS CLINIC, INC is a hematology and oncology internal medicine in Henderson, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DEACONESS CLINIC, INC NPI is 1659993582. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Clinic Multispecialty Clinic.

The provider's business location address is:

1305 N ELM ST
HENDERSON, KY
ZIP 42420-783
Phone: (270) 831-7937
Fax: (270) 831-7939

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 5/14/2020 and was last updated on 5/26/2021.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
2207RH0003XInternal MedicineHematology & OncologyYes
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207RX0202XInternal MedicineMedical OncologyNo
52084N0400XPsychiatry & NeurologyNeurologyNo
6363A00000XPhysician AssistantNo
7363AM0700XPhysician AssistantMedicalNo
8363L00000XNurse PractitionerNo
9363LA2200XNurse PractitionerAdult HealthNo
10363LA2100XNurse PractitionerAcute CareNo
11363LF0000XNurse PractitionerFamilyNo
12363LP0200XNurse PractitionerPediatricsNo

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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