NPIMap

Organization Active NPI

Deaconess Women's Hospital of Southern Indian

Doing business as Bonaventura Reproductive Medicine at The Women's Hospital

  • Reproductive Endocrinology Physician
  • Newburgh, IN
National Provider Identifier
1447455654
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIAN
Doing business as
Bonaventura Reproductive Medicine at The Women's Hospital
Practice address
4199 Gateway Blvd
Suite 2900
Newburgh, IN 47630
Phone
(812) 842-4530
Fax
(812) 842-4535
NPI assigned
Jun 18, 2007
Organization subpart
Yes
Parent organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

4199 Gateway Blvd
Suite 2900
Newburgh, IN 47630

Mailing address

PO Box 3239
Evansville, IN 47731-3239
Phone (812) 842-4530

Other identifiers 1

IdentifierTypeStateIssuer
01022970OtherINSTATE LICENSE NO.

Other names 1

  • Bonaventura 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
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": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1447455654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3239",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313239",
            "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": "47630",
            "telephone_number": "812-842-4530",
            "fax_number": "812-842-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-842-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NO.",
            "identifier": "01022970",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonaventura 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 Mar 7, 2023; 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.