NPI 1033365986 · live from the CMS NPI Registry
Deaconess Clinic INC.
Family Medicine in Newburgh, IN. National Provider Identifier 1033365986, active.
NPI record
| NPI | 1033365986 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 4233 Gateway Blvd, Newburgh, IN 47630 |
| Practice phone | 812-426-6638 |
| Mailing address | Po Box 1510, Evansville, IN 47706 |
| Enumerated | August 12, 2008 |
| Last updated | October 20, 2022 |
| Authorized official | Cheryl Wathen, Cfo |
| Other names | Deaconess Clinic Ii |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology | 207K00000X | — |
| Dermatology | 207N00000X | — |
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Pediatrics, Pediatric Gastroenterology | 2080P0206X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Surgery, Plastic and Reconstructive Surgery | 2086S0122X | — |
| Podiatrist | 213E00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.