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DEACONESS CLINIC I
NPI 1003211244
Otolaryngology in Evansville, IN

Active since October 30, 2014CLIA 15D2051387 · Waiver
350 W COLUMBIA ST STE 200, EVANSVILLE, IN 47710(812) 425-2646(812) 858-4586 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Jun 14, 2019, Aug 10, 2017 (3 updates tracked since 2017).

About Deaconess Clinic I NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS CLINIC I (NPI 1003211244) is a healthcare organization registered as an otolaryngology in Evansville, Indiana and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through December 17, 2026 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003211244
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameDEACONESS CLINIC, INC.
Location Address350 W COLUMBIA ST STE 200Evansville, IN 47710-1782
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 425-2646
Fax(812) 858-4586
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateOctober 30, 2014
Last NPPES UpdateMarch 11, 20213 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
✔ NPI 1003211244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedAudiologistTaxonomy 231H00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
350 W COLUMBIA ST STE 200, Evansville, IN 47710
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Other Names 1

Doing Business AsDeaconess Clinic I

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2051387

Deaconess Clinic Cedar Hall · Evansville, IN
Active · expires Dec 17, 2026
CLIA Number15D2051387
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorDr. William R. Smith
Laboratory Phone(812) 935-0977
Laboratory LocationDeaconess Clinic Cedar Hall2100 N Fulton Ave, Evansville, IN 47710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROL JANE FRITCHLEY PA
Physician Assistant
350 W COLUMBIA ST STE 200
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-2646
SUSAN ELLSPERMAN MD
Otolaryngology
350 W COLUMBIA ST STE 200
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-2646
ANDERS HOLM MD
Otolaryngology
350 W COLUMBIA ST STE 200
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-2646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Clinic, Inc.'s NPI number?

The NPI number for Deaconess Clinic, Inc. is 1003211244. It was assigned to this organization in the NPPES registry on October 30, 2014. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 350 W Columbia St Ste 200, Evansville, IN 47710. The listed phone number is (812) 425-2646.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does Deaconess Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2051387) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Clinic, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Clinic, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic, Inc. was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.