DEACONESS CLINIC, INC
NPI 1376799213
Pediatrics in Newburgh, IN

Q: What is Deaconess Clinic, Inc's NPI number?

The NPI number for Deaconess Clinic, Inc is 1376799213. It was assigned to this organization in the NPPES registry on August 12, 2008.

Q: What is Deaconess Clinic, Inc's specialty?

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

Active since August 12, 2008CLIA 15D0918500 · Waiver

4209 GATEWAY BLVD, NEWBURGH, IN 47630(812) 853-5300(812) 858-4660 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2024, Jul 11, 2023, Jul 2, 2019 and 2 more (5 updates tracked since 2017).

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About Deaconess Clinic, Inc NPPES

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

DEACONESS CLINIC, INC (NPI 1376799213) is a healthcare organization registered as a pediatrics in Newburgh, Indiana and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Cheryl A Wathen, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376799213

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameDEACONESS CLINIC, INC

Location Address4209 GATEWAY BLVDNewburgh, IN 47630-8900

Mailing AddressPo Box 1510Evansville, IN 47706-1510 · (812) 853-5300 · Fax (812) 858-4660

Phone(812) 853-5300

Fax(812) 858-4660

Organization SubpartNo

Authorized OfficialCheryl A WathenCfo · (812) 450-3296

Enumeration DateAugust 12, 2008

Last NPPES UpdateNovember 21, 20245 updates tracked since enumeration

NPPES CertifiedNovember 21, 2024

✔ NPI 1376799213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X

Also ListedPediatrics · Pediatric EndocrinologyTaxonomy 2080P0205X

Also ListedPediatrics · Pediatric GastroenterologyTaxonomy 2080P0206X

Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X

Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X

Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X

Also ListedSurgery · Pediatric SurgeryTaxonomy 2086S0120X

Also ListedUrologyTaxonomy 208800000X

Also ListedUrology · Pediatric UrologyTaxonomy 2088P0231X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

4209 GATEWAY BLVD, Newburgh, IN 47630

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Other Identifiers 1

Medicaid200910700FIN

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 15D0918500

Deaconess Clinic, Mob 2 Gateway Medical Office Building · Newburgh, IN

Active · expires May 14, 2027

CLIA Number15D0918500

Laboratory TypePhysician Office

Certificate Effective DateMay 15, 2025

Certificate Expiration DateMay 14, 2027

Laboratory DirectorBarry S. Phillips

Laboratory Phone(812) 853-5300

Laboratory LocationDeaconess Clinic, Mob 2 Gateway Medical Office Building4209 Gateway Blvd, Newburgh, IN 47630

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.

MARGIE HUFF

Nurse Practitioner