Deaconess Welborn Surgical Holding Company, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DEACONESS WELBORN SURGICAL HOLDING COMPANY, LLC

Doing business as

Deaconess Procedure Center

Practice address

421 Chestnut St
Evansville, IN 47713-1227

Phone

(812) 426-9412

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Richard M Stivers

Title

Secretary/Treasurer

Phone

(812) 450-3296

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deaconess Procedure Center Doing business as

Member of 1

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

• Deaconess Hospital, Inc

  dba Deaconess Primary Care for Seniors - North

  • Geriatric Medicine (Internal Medicine) Physician
  • Evansville, IN
  • NPI 1750399259

  Member Of

  NPD member

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1700035250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3868",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477373868",
            "telephone_number": "812-426-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHESTNUT ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477131227",
            "telephone_number": "812-426-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS WELBORN SURGICAL HOLDING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "STIVERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "812-450-3296"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200919180",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess Procedure Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deaconess Specialty Physicians, Inc
• Deaconess Specialty Physicians, Inc
• Deaconess Vna Plus, LLC
• Deaconess Vna Plus, LLC
• Deaconess Vna Plus, LLC
• Deaconess Women's Hospital of Southern Indiana, LLC
• Dean Family Dental Practice, LLC
• Darren Michael Dean, D.D.S.
• Lindsey L Dean, PT
• Rodney Cua Deang, PT

• Ambulatory Surgical Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.