Deaconess Breast Center, L.L.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DEACONESS BREAST CENTER, L.L.C.

Practice address

520 Mary St
Suite 140
Evansville, IN 47710-1677

Phone

(812) 424-1200

Fax

(812) 424-4163

NPI assigned

Oct 4, 2005

Last updated

Feb 21, 2008By 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

Daniel W. Whitehead, M.D.NPI 1336136324

Title

Board of Directors

Phone

(812) 422-3254

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Daniel Wright Whitehead, M.D.

  • Diagnostic Radiology Physician
  • Evansville, IN
  • NPI 1336136324
  Authorized official Same address or phone

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1831186931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MARY ST",
            "address_2": "SUITE 140",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101677",
            "telephone_number": "812-424-1200",
            "fax_number": "812-424-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST",
            "address_2": "SUITE 140",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101677",
            "telephone_number": "812-424-1200",
            "fax_number": "812-424-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS BREAST CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "812-422-3254",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI6801",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie L Davison, M.D.
• Helianthus Davoe, PHARMD, BCPS, HIVPCP
• Sophia D Dawson
• Olivia Day
• Skylar Jo Day
• Deaconess Care Integration
• Deaconess Clinc Inc (DC at Work - Main Street)
• Deaconess Clinc Inc (Deaconess Clinic - at Work West)
• Deaconess Clinc Inc (DC at Work Mt. Pleasant)
• Deaconess Clinc Inc (Deaconess Clinic - Downtown)

• Diagnostic Radiology Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.