DEACONESS MEDICAL GROUP - SPECIALTY
NPI 1952325409
Dermatology - MOHS-Micrographic Surgery in Evansville, IN

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

The NPI number for Deaconess Hospital, Inc is 1952325409. It was assigned to this organization in the NPPES registry on July 27, 2006. The provider is doing business as Deaconess Medical Group - Specialty.

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

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since July 27, 2006

519 HARRIET ST, EVANSVILLE, IN 47710(812) 423-9699(812) 434-2025 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Deaconess Medical Group - Specialty NPPES

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

DEACONESS MEDICAL GROUP - SPECIALTY (NPI 1952325409) is a healthcare organization registered as a mohs-micrographic surgery in Evansville, Indiana and active in the NPI registry since July 2006. The organization lists Richard M Stivers, Sr Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1952325409

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameDEACONESS HOSPITAL, INC

Location Address519 HARRIET STEvansville, IN 47710-1715

Mailing AddressPo Box 3407Evansville, IN 47733-3407 · (812) 450-6815 · Fax (812) 450-6822

Phone(812) 423-9699

Fax(812) 434-2025

Organization SubpartNo

Authorized OfficialRichard M StiversSr Vice President, Cfo · (812) 450-3296

Enumeration DateJuly 27, 2006

Last NPPES UpdateOctober 19, 2007

✔ NPI 1952325409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

519 HARRIET ST, Evansville, IN 47710

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Other Names 1

Doing Business AsDeaconess Medical Group - Specialty

Other Identifiers 5

Medicare ID-Type Unspecified636570IN · Mcare Group #

Medicare PINCG1119IN

OtherCG1119IN · Rr Mcare Group #

Medicaid65931586KY

Medicare PINCA2202IN

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

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.

DAVID T. HARRIS M.D.

Internal Medicine (Pulmonary Disease)