NPIMap

Organization Active NPI

Deaconess Women's Hospital of Southern Indiana LLC

Doing business as Neonatology Services for The Women's Hospital

  • Neonatal-Perinatal Medicine Physician
  • Newburgh, IN
National Provider Identifier
1174660526
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA LLC
Doing business as
Neonatology Services for The Women's Hospital
Practice address
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone
(812) 842-4200
NPI assigned
Feb 1, 2007
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Christina M Ryan
Title
Ceo
Phone
(812) 842-4200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Neonatal Nurse Practitioner 363LN0000X NU
Critical Care Neonatal Nurse Practitioner 363LN0005X NU
Neonatal-Perinatal Medicine Physician 2080N0001X NU Primary

Addresses

Primary practice location

4199 Gateway Blvd
Newburgh, IN 47630-8940

Mailing address

PO Box 637273
Cincinnati, OH 45263-7273

Other identifiers 1

IdentifierTypeStateIssuer
200437460AMedicaidIN

Other names 1

  • Neonatology Services for The Women's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deaconess Women's Hospital of Southern Indiana9 organizations share this tax ID, including this one
Part of
Deaconess Women's Hospital of Southern Indiana

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1174660526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637273",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-842-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA LLC",
        "enumeration_date": "2007-02-01",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-842-4200"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200437460A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neonatology Services for The Women's Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neonatology Services for The Women's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.