Board of Trustees of Welborn Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOARD OF TRUSTEES OF WELBORN CLINIC

Doing business as

Welborn Clinic Gateway

Practice address

4233 Gateway Blvd
Newburgh, IN 47630-8900

Phone

(812) 853-7391

NPI assigned

Nov 13, 2006

Last updated

Mar 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David D Christeson, MD

Title

Ceo

Phone

(812) 426-9228

Specialties & licenses 1

Addresses

Other names 1

• Welborn Clinic Gateway Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Deaconess Hospital Inc

  dba Deaconess Pulmonary Critical Care - Gateway

  • Pulmonary Disease Physician
  • Newburgh, IN
  • NPI 1184671232

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1114099645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 CHESTNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131227",
            "telephone_number": "812-426-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308900",
            "telephone_number": "812-853-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF WELBORN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "CHRISTESON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-426-9228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welborn Clinic Gateway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ann Blandford
• Nathan Thomas Blandford
• Megan Marie Blankenberger, AUDIOLOGIST
• Miranda E Blevins, MD
• Board of Trustees of Welborn Clinic (Welborn Clinic Gateway Deaconess Riley)
• Board of Trustees of Welborn Clinic (Welborn Clinic IDTF Womens Hospital)
• Board of Trustees of Welborn Clinic (Welborn Clinic Gateway IDTF)
• Board of Trustees of Welborn Clinic (Welborn Clinic DME Womens Hospital)
• Nicole Bobe, RD
• Charles Bockelman, PHARMD, BCOP

• Durable Medical Equipment & Medical Supplies in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.