Deaconess Hospital, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEACONESS HOSPITAL, INC

Doing business as

Deaconess Medical Group - Morganfield

Practice address

1700 US Highway 60 W
Morganfield, KY 42437-6242

Phone

(270) 389-0031

Fax

(270) 389-3707

NPI assigned

Aug 31, 2006

Last updated

Oct 19, 2007By 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

Richard M Stivers

Title

Sr Vice President, Cfo

Phone

(812) 450-3296

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Deaconess Medical Group - Morganfield Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1700997392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-6815",
            "fax_number": "812-450-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 US HIGHWAY 60 W",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "424376242",
            "telephone_number": "270-389-0031",
            "fax_number": "270-389-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "STIVERS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "812-450-3296"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE GROUP #",
            "identifier": "CJ3024",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78904588",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65940520",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deaconess Medical Group - Morganfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Marie Day, PTA
• Deaconess Clinic Inc (Deaconess Clinic Morganfield)
• Deaconess Clinic, Inc (Deaconess Clinic Multispecialty Union)
• Deaconess Clinic, Inc (Deaconess Clinic I)
• Deaconess Health Kentucky Inc
• Deaconess Speciality Physicians, Inc
• Deaconess Specialty Physicians, Inc
• Deaconess Union County Hospital, Inc (Deaconess Union County Anesthesia)
• Deaconess Union County Hospital, Inc (Deaconess Union County Hospital)
• Deaconess Union County Hospital, Inc (Deaconess Union County Surgical Services)

• Family Medicine Physician in Morganfield, KY
• Providers in Morganfield, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.