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DEACONESS CLINIC, INC.
NPI 1174490940
Pediatrics - Pediatric Cardiology in Henderson, KY

Active since October 17, 2025
1305 N ELM ST, HENDERSON, KY 42420(812) 450-6879(812) 858-4586 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deaconess Clinic, Inc. NPPES

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

DEACONESS CLINIC, INC. (NPI 1174490940) is a healthcare organization registered as a pediatric cardiology in Henderson, Kentucky and active in the NPI registry since October 2025. The organization lists Cheryl Annette Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174490940
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameDEACONESS CLINIC, INC.
Location Address1305 N ELM STHenderson, KY 42420-2783
Mailing Address1305 N Elm StHenderson, KY 42420-2783 · (812) 450-6879 · Fax (812) 858-4586
Phone(812) 450-6879
Fax(812) 858-4586
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCfo · (812) 450-3296
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1174490940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1305 N ELM ST, Henderson, KY 42420
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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.

MRS. ERIN LYNN MONROE R.N.
Registered Nurse (Medical-Surgical)
1305 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-7377
HENDERSON PATHOLOGY & CYTOPATHOLOGY SERVICES PSC
Pathology (Anatomic Pathology & Clinical Pathology)
1305 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-9701
SHANNA S THOMAS
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-7700
DR. LASHAGIORGI ESEBUA MD
Pain Medicine (Pain Medicine)
1305 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 957-8800
JUSTIN MATTHEW GREUBEL PHARMD
Pharmacist (Pharmacotherapy)
1305 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-7421
MS. MARGARET ELIZABETH DELP OTR/L
Occupational Therapist
1305 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-7700
MICHAEL A ROOF D.O.
Family Medicine
1305 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-7700
DR. PRIMILINA A CORPUS MD
Pathology (Anatomic Pathology & Clinical Pathology)
1305 N ELM ST
HENDERSON, KY 42420
Henderson County (270) 827-9701

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 1174490940. It was assigned to this organization in the NPPES registry on October 17, 2025.

Where is Deaconess Clinic, Inc. located?

Deaconess Clinic, Inc. is located at 1305 N Elm St, Henderson, KY 42420. The listed phone number is (812) 450-6879.

What is Deaconess Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Deaconess Clinic, Inc. was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.