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 DME Westside

Practice address

545 S Boehne Camp Rd
Evansville, IN 47712-3703

Phone

(812) 429-1818

NPI assigned

Feb 5, 2007

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 Christeson, MDNPI 1265508451

Title

Ceo

Phone

(812) 426-6626

Specialties & licenses 1

Addresses

Other names 1

• Welborn Clinic DME Westside Doing business as

Member of 1

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

• Deaconess Hospital, Inc.

  dba Freedom Medical West

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
  • NPI 1366830259

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David D Christeson, MD

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1265508451
  Authorized official Same address or phone

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1174662647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 S BOEHNE CAMP RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123703",
            "telephone_number": "812-429-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S BOEHNE CAMP RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477123703",
            "telephone_number": "812-429-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF TRUSTEES OF WELBORN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "CHRISTESON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-426-6626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welborn Clinic DME Westside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Skies Mindfulness & Wellness, LLC
• William A. Blume, MD
• Staci M Blythe, PTA
• Board of Trustees of Welborn Clinic (Welborn Clinic Urology)
• Board of Trustees of Welborn Clinic (Welborn Clinic Cardiology)
• Board of Trustees of Welborn Clinic (Welborn Clinic DME St Marys OB GYN)
• Board of Trustees of Welborn Clinic (Welborn Clinic IDTF Downtown)
• Board of Trustees of Welborn Clinic (Welborn Clinic Ambulatory Surgery Center)
• Board of Trustees of Welborn Clinic (Welborn Clinic IDTF St. Marys OB GYN)
• Board of Trustees of Welborn Clinic (Welborn Clinic DME Downtown)

• Durable Medical Equipment & Medical Supplies in Evansville, IN
• Providers in Evansville, 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.