Deaconess Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEACONESS CLINIC, INC.

Practice address

2100 N Fulton Ave
Evansville, IN 47710-2842

Phone

(812) 435-8223

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By 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

Cheryl Annette Wathen

Title

Cfo

Phone

(812) 450-3296

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Deaconess Clinic100 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Deaconess Clinc Inc

  dba Deaconess Clinic I

  • Nurse Practitioner
  • Mount Vernon, IN
  • NPI 1609108976
  NPD tax ID
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310
  NPD tax ID
• Deaconess Clinic Inc

  • Family Medicine Physician
  • Holland, IN
  • NPI 1386435428
  NPD tax ID
• Deaconess Clinic Inc

  • Family Medicine Physician
  • Huntingburg, IN
  • NPI 1417748559
  NPD tax ID
• Deaconess Clinic Inc

  • Nurse Practitioner
  • Fort Branch, IN
  • NPI 1457824203
  NPD tax ID
• Deaconess Clinic Inc

  dba Deaconess Clinic - Lynch Drive Up

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1528645868
  NPD tax ID
• Deaconess Clinic, Inc

  dba Deaconess Clinic I

  • Rural Health Clinic/Center
  • Fort Branch, IN
  • NPI 1285880179
  NPD tax ID
• Deaconess Clinic, Inc

  • Clinic/Center
  • Newburgh, IN
  • NPI 1326541673
  NPD tax ID
• Deaconess Clinic, Inc

  • Nurse Practitioner
  • Mount Vernon, IN
  • NPI 1376267799
  NPD tax ID
• Deaconess Clinic, Inc

  • Infectious Disease Physician
  • Evansville, IN
  • NPI 1386412468
  NPD tax ID
• Deaconess Clinic, Inc

  dba Deaconess Comp Center Gateway

  • Occupational Medicine Clinic/Center
  • Newburgh, IN
  • NPI 1407804602
  NPD tax ID
• Deaconess Clinic, Inc

  dba Deaconess Comp Center Northpark

  • Occupational Medicine Clinic/Center
  • Evansville, IN
  • NPI 1417905688
  NPD tax ID

Practitioners 3

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.

• Jayme Blessinger, FNP

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1184029019
  NPD
• Deepthi L Nair, PA

  • Physician Assistant
  • Boonville, IN
  • NPI 1801537485
  NPD
• Jon Scott Uloth, M.D.

  • Family Medicine Physician
  • Newburgh, IN
  • NPI 1073598330
  NPD

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1437639119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N FULTON AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477102842",
            "telephone_number": "812-435-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "WATHEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-450-3296"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc. (Deaconess Clinic I)
• Deaconess Clinic, Inc. (Deaconess Clinic - Behavioral Health Psychology)
• Deaconess Clinic, Inc. (Deaconess Clinic - DC at Work Berry Global)
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc. (Deaconess Clinic I)
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc. (Deaconess Clinic - DC at Work Columbia)

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.