Deaconess Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEACONESS CLINIC, INC.

Practice address

901 Sweetser Ave
Evansville, IN 47713-2831

Phone

(812) 435-8242

NPI assigned

Aug 21, 2018

Organization subpart

No

Name

Cheryl Annette Wathen

Title

Cfo

Phone

(812) 450-3296

Organizations that report the same tax identification number in the National Provider Directory.

• Deaconess Clinc Inc

  • Family Medicine Physician
  • Princeton, IN
  • NPI 1780543918
  NPD tax ID
• Deaconess Clinc Inc

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1790543072
  NPD tax ID
• Deaconess Clinc Inc

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1841930484
  NPD tax ID
• Deaconess Clinic Inc

  • Family Medicine Physician
  • Jasper, IN
  • NPI 1770374720
  NPD tax ID
• Deaconess Clinic Inc

  • Internal Medicine Physician
  • Jasper, IN
  • NPI 1811788862
  NPD tax ID
• Deaconess Clinic Inc

  • Family Medicine Physician
  • Ferdinand, IN
  • NPI 1861283988
  NPD tax ID
• Deaconess Clinic Inc

  • Nurse Practitioner
  • Evansville, IN
  • NPI 1922734854
  NPD tax ID
• Deaconess Clinic Inc

  • Family Medicine Physician
  • Jasper, IN
  • NPI 1922899988
  NPD tax ID
• Deaconess Clinic Inc

  • Family Medicine Physician
  • Santa Claus, IN
  • NPI 1962293936
  NPD tax ID
• Deaconess Clinic Inc.

  • Family Medicine Physician
  • Rockport, IN
  • NPI 1699921585
  NPD tax ID
• Deaconess Clinic, Inc

  • Pediatrics Physician
  • Princeton, IN
  • NPI 1790397206
  NPD tax ID
• Deaconess Clinic, Inc

  • Rural Health Clinic/Center
  • Petersburg, IN
  • NPI 1831345792
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynn A Bell, L.C.S.W.

  • Clinical Social Worker
  • Newburgh, IN
  • NPI 1699875617
  NPD

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Tax ID family

Deaconess Clinc Inc (99 organizations share this tax ID)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2018.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1881174571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1510",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477061510",
            "telephone_number": "812-450-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SWEETSER AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132831",
            "telephone_number": "812-435-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "WATHEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-450-3296"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Clinic, Inc.
• Deaconess Cross Pointe
• Deaconess Health Kentucky Inc
• Deaconess Heart Center Cath Lab
• Deaconess Home Health, LLC
• Deaconess Hospital Inc

• All providers in Evansville, IN
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.