NPI 1619123585 · live from the CMS NPI Registry
Deaconess Clinic INC.
Internal Medicine in Evansville, IN. National Provider Identifier 1619123585, active.
NPI record
| NPI | 1619123585 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 421 Chestnut St, Evansville, IN 47713 |
| Practice phone | 812-426-9506 |
| Mailing address | Po Box 1510, Evansville, IN 47706 |
| Enumerated | August 12, 2008 |
| Last updated | September 23, 2020 |
| Authorized official | Cheryl Wathen, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Nephrology | 207RN0300X | — |
| Internal Medicine, Rheumatology | 207RR0500X | — |
| Allergy & Immunology | 207K00000X | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Hematology & Oncology | 207RH0003X | — |
| Pediatrics, Pediatric Gastroenterology | 2080P0206X | — |
| Podiatrist | 213E00000X | — |
| Audiologist | 231H00000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Nurse Practitioner, Acute Care | 363LA2100X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.