NPIMap

Organization Active NPI

Deaconess Women'S Hospital of Southern Indiana

  • Reproductive Endocrinology Physician
  • Newburgh, IN
National Provider Identifier
1265736904
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
11-002855-1 Issued in IN
Legal business name
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA
Practice address
4199 Gateway Blvd
Suite 2900
Newburgh, IN 47630-8940
Phone
(812) 842-4530
Fax
(812) 842-4535
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Christina Cady
Title
Controller
Phone
(812) 842-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X 11-002855-1 IN Primary

Addresses

Primary practice location

4199 Gateway Blvd
Suite 2900
Newburgh, IN 47630-8940

Mailing address

4199 Gateway Blvd
Suite 2900
Newburgh, IN 47630-8940
Phone (812) 842-4530

Other names 1

  • Tri-State Reproductive Medicine at 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

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": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1265736904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "SUITE 2900",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-842-4530",
            "fax_number": "812-842-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "address_2": "SUITE 2900",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-842-4530",
            "fax_number": "812-842-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "CADY",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "812-842-4263"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "IN",
            "license": "11-002855-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State Reproductive Medicine at 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 Jan 10, 2011; 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.