DEACONESS CLINIC, INC
NPI 1205082583
Internal Medicine in Evansville, IN

Active since August 18, 2008CLIA 15D1086876 · Waiver
520 MARY ST, STE 340, EVANSVILLE, IN 47710(812) 450-6700(812) 450-6710 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 12, 2025, Jul 9, 2019, Sep 20, 2017 and 1 more (4 updates tracked since 2017).

About Deaconess Clinic, Inc NPPES

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

DEACONESS CLINIC, INC (NPI 1205082583), doing business as Deaconess Clinic I, is a healthcare organization registered as an internal medicine in Evansville, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205082583
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address520 MARY ST, STE 340Evansville, IN 47710-1677
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 450-6815 · Fax (812) 450-6822
Fax(812) 450-6710
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateAugust 18, 2008
Last NPPES UpdateFebruary 12, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
NPI 1205082583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
520 MARY ST, Evansville, IN 47710

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

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 15D1086876

Deaconess Clinic - Mary Street · Evansville, IN
Active · expires Aug 31, 2027
CLIA Number15D1086876
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDr. David M. Page
Laboratory Phone(812) 450-6700
Laboratory LocationDeaconess Clinic - Mary Street520 Mary St Ste 340, Evansville, IN 47710
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Physical Therapist
520 MARY ST
EVANSVILLE, IN 47710
Surgery
520 MARY ST, SUITE 520
EVANSVILLE, IN 47710
Anesthesiology
520 MARY ST
EVANSVILLE, IN 47710
Internal Medicine (Cardiovascular Disease)
520 MARY ST, SUITE 230
EVANSVILLE, IN 47710
Psychiatry & Neurology (Neurology)
520 MARY ST, SUITE380
EVANSVILLE, IN 47710
Internal Medicine (Cardiovascular Disease)
520 MARY ST, SUITE 230
EVANSVILLE, IN 47710
Surgery
520 MARY ST, SUITE 520
EVANSVILLE, IN 47710
Surgery
520 MARY ST, SUITE 520
EVANSVILLE, IN 47710

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 1205082583. It was assigned to this organization in the NPPES registry on August 18, 2008. The provider is doing business as Deaconess Clinic I.

Where is Deaconess Clinic, Inc located?

Deaconess Clinic, Inc is located at 520 Mary St Ste 340, Evansville, IN 47710. The listed phone number is (812) 450-6700.

What is Deaconess Clinic, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Deaconess Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1086876) is associated with this NPI, valid through August 31, 2027. 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 February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.