DEACONESS CLINC INC
NPI 1053077107
Dermatology in Madisonville, KY

Q: What is Deaconess Clinc Inc's NPI number?

The NPI number for Deaconess Clinc Inc is 1053077107. It was assigned to this organization in the NPPES registry on November 12, 2021. The provider is doing business as Deaconess Clinic Dermatology Madisonville.

Q: What is Deaconess Clinc Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since November 12, 2021

1851 N MAIN ST, MADISONVILLE, KY 42431(812) 450-6859 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Deaconess Clinc Inc NPPES

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

DEACONESS CLINC INC (NPI 1053077107), doing business as Deaconess Clinic Dermatology Madisonville, is a healthcare organization registered as a dermatology in Madisonville, Kentucky and active in the NPI registry since November 2021. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053077107

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameDEACONESS CLINC INC

Location Address1851 N MAIN STMadisonville, KY 42431-9024

Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822

Phone(812) 450-6859

Organization SubpartNo

Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296

Enumeration DateNovember 12, 2021

NPPES CertifiedNovember 12, 2021

✔ NPI 1053077107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedNurse PractitionerTaxonomy 363L00000X

1851 N MAIN ST, Madisonville, KY 42431

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Other Names 1

Doing Business AsDeaconess Clinic Dermatology Madisonville

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 ›

Other Providers at the Same Location NPPES 11

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

SARAH RUTH PEYTON FNP

Nurse Practitioner (Family)