THE HEART HOSPITAL AT DEACONESS GATEWAY LLC NPI 1093948861

NPI Information

  • NPI: 1093948861
  • Provider Name: THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Doing Business As: DEACONESS CARE GROUP AT HEART HOSPITAL
  • Address: 4007 GATEWAY BLVD
    NEWBURGH, IN
    ZIP 47630
  • Phone: (812) 842-4784

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NPI Details

THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC is a cardiovascular disease internal medicine in Newburgh, IN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. THE HEART HOSPITAL AT DEACONESS GATEWAY, LLC NPI is 1093948861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Deaconess Care Group At Heart Hospital.

The provider's business location address is:

4007 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-947
Phone: (812) 842-4784
Fax: (812) 842-3921

The provider's authorized official is Tracy L Silva .
The authorized official title is Controller and has the following contact phone number (812) 842-3985.

The enumeration date for this NPI number is 8/27/2009 and was last updated on 11/9/2017.

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 License Number License State Primary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
4207RI0011XInternal MedicineInterventional CardiologyNo
5207RP1001XInternal MedicinePulmonary DiseaseNo
62080P0202XPediatricsPediatric CardiologyNo
7208M00000XHospitalistNo
8363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200975380MEDICAIDINDIANA
2267190MEDICARE PININDIANA

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: 3/30/2025

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