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Deaconess Clinic, Inc

Internal Medicine Physician in Henderson, KY · enumerated 2011 · authorized official Cheryl Wathen, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154607398

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Clinic, Inc
Other name <Unavail>
Practice address 340 Starlite Dr, Henderson, KY, 42420
Fax (270) 844-8183
Enumeration date Nov 2, 2011
Last updated in NPPES Aug 10, 2017

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207RN0300X Nephrology Physician Allopathic & Osteopathic Physicians Secondary
2080P0206X Pediatric Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LA2100X Acute Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Cheryl Wathen
Title Cfo

Other identifiers

Identifier Type State Issuer
200910700P Medicaid IN -
7100051620 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Deaconess Clinic, Inc located?
The practice location on file with NPPES is in Henderson, KY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-08-10. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-08-10.