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Deaconess Clinic, Inc

Family Medicine Physician in Newburgh, IN · enumerated 2008 · authorized official Cheryl Wathen, Cfo.

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

National Provider Identifier

1306092689

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Registry record

Entity type Organization (Type 2)
Legal business name Deaconess Clinic, Inc
Other name <Unavail>
Practice address 4015 Gateway Blvd, Newburgh, IN, 47630
Fax (812) 858-9571
Enumeration date Aug 18, 2008
Last updated in NPPES Sep 16, 2020

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
207RH0002X Hospice and Palliative Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
2080P0206X Pediatric Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
231H00000X Audiologist Speech, Language and Hearing Service Providers Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 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
200910700A Medicaid IN -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-09-16. Verify at npiregistry.cms.hhs.gov.
Where is Deaconess Clinic, Inc located?
The practice location on file with NPPES is in Newburgh, IN.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-16.