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

NPI Status: Active since October 17, 2025

Contact Information

1305 N ELM ST
HENDERSON, KY
ZIP 42420
Phone: (812) 450-6879
Fax: (812) 858-4586

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  • Organization
  • Pediatrics
  • Pediatric Cardiology

About DEACONESS CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Deaconess Clinic, Inc., a pediatrician established in Henderson, Kentucky operating as a Pediatrics, focusing in pediatric cardiology . The healthcare provider is registered in the NPI registry with number 1174490940 assigned on October 2025. The practitioner's primary taxonomy code is 2080P0202X. The provider is registered as an organization and their NPI record was last updated one year ago. Deaconess Clinic, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Cheryl Annette Wathen (Cfo)

NPI
1174490940
Provider Name
DEACONESS CLINIC, INC.
Entity Type
Organization
Location Address
1305 N ELM ST HENDERSON, KY 42420
Location Phone
(812) 450-6879
Location Fax
(812) 858-4586
Mailing Address
1305 N ELM ST HENDERSON, KY 42420
Mailing Phone
(812) 450-6879
Mailing Fax
(812) 858-4586
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2025
Last Update Date
10-17-2025
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A pediatrician like Deaconess Clinic, Inc. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Cardiology

Taxonomy Code
2080P0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHERYL ANNETTE WATHEN

Authorized Official Title
CFO
Authorized Official Phone
(812) 450-3296

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174490940, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 4 → 8 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 8 + 9 + 0 + 9 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1174490940.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1305 N ELM ST, ER
HENDERSON, KY 42420
Radiology (Diagnostic Radiology)
1305 N ELM ST
HENDERSON, KY 42420
Radiology (Diagnostic Radiology)
1305 N ELM ST
HENDERSON, KY 42420
Nurse Anesthetist, Certified Registered
1305 N ELM ST, ANESTHESIA DEPARTMENT
HENDERSON, KY 42420
Anesthesiology (Critical Care Medicine)
1305 N ELM ST
HENDERSON, KY 42420
Pathology (Anatomic Pathology & Clinical Pathology)
1305 N ELM ST
HENDERSON, KY 42420
Anesthesiology
1305 N ELM ST, ANESTHESIA DEPT
HENDERSON, KY 42420
Pharmacist
1305 N ELM ST
HENDERSON, KY 42420
Pharmacist
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Nutritionist
1305 N ELM ST
HENDERSON, KY 42420
Specialist
1305 N ELM ST
HENDERSON, KY 42420
Pharmacist (Pharmacotherapy)
1305 N ELM ST
HENDERSON, KY 42420
Registered Nurse (Medical-Surgical)
1305 N ELM ST
HENDERSON, KY 42420
General Acute Care Hospital
1305 N ELM ST
HENDERSON, KY 42420
Nurse Practitioner (Family)
1305 N ELM ST
HENDERSON, KY 42420
Surgery
1305 N ELM ST
HENDERSON, KY 42420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174490940, enumerated as an "organization" on October 17, 2025.

The provider is located at 1305 N ELM ST HENDERSON, KY 42420 and the phone number is (812) 450-6879.

Pediatrics with taxonomy code 2080P0202X and a focus in Pediatric Cardiology.