DEACONESS FAMILY MEDICINE RESIDENCY
NPI 1629097639
Family Medicine in Evansville, IN

NPI Status: Active since July 19, 2006

Contact Information

415 W COLUMBIA ST STE 110
EVANSVILLE, IN
ZIP 47710
Phone: (812) 450-3363
Fax: (812) 450-3071

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  • Organization
  • Family Medicine
  • Accepts Insurance

About DEACONESS FAMILY MEDICINE RESIDENCY

This page provides the complete NPI Profile along with additional information for Deaconess Family Medicine Residency, a primary care provider established in Evansville, Indiana operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1629097639 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Deaconess Family Medicine Residency operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Deaconess Family Medicine Residency. The authorized official of this NPI record is Cheryl A Wathen (Cfo)

NPI
1629097639
Provider Legal Name
DEACONESS HOSPITAL, INC.
Other Organization Name
DEACONESS FAMILY MEDICINE RESIDENCY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
415 W COLUMBIA ST STE 110 EVANSVILLE, IN 47710
Location Phone
(812) 450-3363
Location Fax
(812) 450-3071
Mailing Address
PO BOX 3407 EVANSVILLE, IN 47733
Mailing Phone
(812) 450-6815
Mailing Fax
(812) 450-3071
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2006
Last Update Date
07-21-2022
Code Navigator

A primary care provider (PCP) like Deaconess Family Medicine Residency sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103T00000XBehavioral Health & Social Service Providers

Psychologist

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
5363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 
6367A00000XPhysician Assistants & Advanced Practice Nursing Providers

Advanced Practice Midwife

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Catastrophic Essential (+ Incentives) - HMO
  • Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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 A WATHEN

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

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100241900MEDICAID (05)IN 

Reviews for DEACONESS FAMILY MEDICINE RESIDENCY

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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 1629097639, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 4 + 9 + 0 + 9 + 1 + 4 + 6 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1629097639.

Other Providers at the Same Location


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

Social Worker (Clinical)
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Psychologist
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Psychologist
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710
Family Medicine
415 W COLUMBIA ST STE 110
EVANSVILLE, IN 47710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629097639, enumerated as an "organization" on July 19, 2006.

The provider is located at 415 W COLUMBIA ST STE 110 EVANSVILLE, IN 47710 and the phone number is (812) 450-3363.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.