DEACONESS CLINIC I
NPI 1225468937
Allergy & Immunology in Princeton, IN

Active since November 15, 2013CLIA 15D2015465 · Waiver
4840 S MAPLE TREE DR, PRINCETON, IN 47670(812) 479-3153(812) 473-8166 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deaconess Clinic I NPPES

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

DEACONESS CLINIC I (NPI 1225468937) is a healthcare organization registered as an allergy & immunology in Princeton, Indiana and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through October 27, 2026 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1225468937
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameDEACONESS CLINIC, INC
Location Address4840 S MAPLE TREE DRPrinceton, IN 47670-9277
Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 479-3153 · Fax (812) 473-8166
Fax(812) 473-8166
Organization SubpartNo
Authorized OfficialCheryl A WathenCfo · (812) 450-3296
Enumeration DateNovember 15, 2013
Last NPPES UpdateAugust 10, 2017
NPI 1225468937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

4840 S MAPLE TREE DR, Princeton, IN 47670

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 15D2015465

Deaconess Clinic Allergy East · Evansville, IN
Active · expires Oct 27, 2026
CLIA Number15D2015465
Laboratory TypePhysician Office
Certificate Effective DateOctober 28, 2024
Certificate Expiration DateOctober 27, 2026
Laboratory DirectorJason F. White
Laboratory Phone(812) 479-3153
Laboratory LocationDeaconess Clinic Allergy East6221 E Physicians Ct, Ste 1, Evansville, IN 47715
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

General Acute Care Hospital (Critical Access)
4840 S MAPLE TREE DR
PRINCETON, IN 47670
Nurse Practitioner (Family)
4840 S MAPLE TREE DR
PRINCETON, IN 47670

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225468937, enumerated as an "organization" on November 15, 2013.

The provider is located at 4840 S MAPLE TREE DR PRINCETON, IN 47670 and the phone number is (812) 479-3153.

Allergy & Immunology with taxonomy code 207K00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.