DEACONESS CLINIC INC
NPI 1104617141
Pediatrics in Jasper, IN

Active since May 16, 2025
721 W 13TH ST, JASPER, IN 47546(812) 996-7918(812) 996-1644 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deaconess Clinic Inc NPPES

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

DEACONESS CLINIC INC (NPI 1104617141) is a healthcare organization registered as a pediatrics in Jasper, Indiana and active in the NPI registry since May 2025. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104617141
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDEACONESS CLINIC INC
Location Address721 W 13TH STJasper, IN 47546-1855
Mailing AddressPo Box 631767Cincinnati, OH 45263-2767 · (812) 450-6879
Fax(812) 996-1644
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateMay 16, 2025
NPPES CertifiedMay 16, 2025
NPI 1104617141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
721 W 13TH ST, Jasper, IN 47546

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

Other Providers at the Same Location NPPES 20

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

Family Medicine
721 W 13TH ST, STE 322
JASPER, IN 47546
Surgery
721 W 13TH ST
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST
JASPER, IN 47546
Otolaryngology
721 W 13TH ST, SUITE 325
JASPER, IN 47546
Clinic/Center (Medical Specialty)
721 W 13TH ST, SUITE 208
JASPER, IN 47546
Internal Medicine (Pulmonary Disease)
721 W 13TH ST, SUITE 221
JASPER, IN 47546
Clinic/Center (Primary Care)
721 W 13TH ST, SUITE 322
JASPER, IN 47546
Otolaryngology (Plastic Surgery within the Head & Neck)
721 W 13TH ST, SUITE 208
JASPER, IN 47546

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 1104617141. It was assigned to this organization in the NPPES registry on May 16, 2025.

Where is Deaconess Clinic Inc located?

Deaconess Clinic Inc is located at 721 W 13th St, Jasper, IN 47546. The listed phone number is (812) 996-7918.

What is Deaconess Clinic Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic Inc was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.