DEACONESS CLINIC INC NPI 1013558980

NPI Information

NPI: 1013558980
Provider Name: DEACONESS CLINIC INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4011 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630
Phone: (812) 490-4570
Get Directions

DEACONESS CLINIC INC is a neurology psychiatry neurology in Newburgh, IN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DEACONESS CLINIC INC NPI is 1013558980. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4011 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-947
Phone: (812) 490-4570
Fax: (812) 490-4570

The provider's authorized official is Cheryl Annette Wathen .
The authorized official title is Cfo and has the following contact phone number (812) 450-3296.

The enumeration date for this NPI number is 10/2/2019 and was last updated on 10/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	No
2	207RN0300X	Internal Medicine	Nephrology	No
3	363A00000X	Physician Assistant		No
4	363L00000X	Nurse Practitioner		No
5	2084N0400X	Psychiatry & Neurology	Neurology	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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