NPIMap

Organization Active NPI

Deaconess Women's Hospital of Southern Indiana, LLC

  • Non-Surgical Family Planning Clinic/Center
  • Evansville, IN
National Provider Identifier
1609689561
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN INDIANA, LLC
Practice address
2344 N Burkhardt Rd
Evansville, IN 47715-2156
Phone
(812) 403-1700
NPI assigned
Jan 27, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DEACONESS WOMEN'S HOSPITAL OF SOUTHERN IN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X NU Primary
Family Nurse Practitioner 363LF0000X NU
Clinical Social Worker 1041C0700X NU
Obstetrics & Gynecology Physician 207V00000X NU
Maternal & Fetal Medicine Physician 207VM0101X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

2344 N Burkhardt Rd
Evansville, IN 47715-2156

Mailing address

PO Box 637273
Cincinnati, OH 45263-7273
Phone (812) 450-6815

Other names 1

  • Ronald McDonald Care Mobile Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050325000731 IN Part B Supplier - Clinic/Group Practice 4183699432 Receives reassigned benefits from 53 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evansville, IN; Newburgh, IN

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2339304Ronald McDonald Care Mobile in Deaconess2344 N Burkhardt Road, Evansville, IN 47715Certificate of waiverFeb 26, 2028

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.

Locations

2340 N Burkhardt Rd
Evansville, IN 47715

2344 N Burkhardt Rd
Evansville, IN 47715
Phone (812) 403-1700

4199 Gateway Blvd
Ste 3100
Newburgh, IN 47630
Phone (812) 842-4550

Practitioners & affiliated clinicians

Practitioners 48

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.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1609689561",
    "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",
            "telephone_number": "812-450-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2344 N BURKHARDT RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152156",
            "telephone_number": "812-403-1700"
        }
    ],
    "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 IN, LLC",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "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": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald McDonald Care Mobile",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Ronald McDonald Care Mobile",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.