Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deaconess Clinic, Inc

Organization Family Medicine Physician · NPI 1114284577

Deaconess Clinic, Inc is a Family Medicine Physician in Newburgh, Indiana. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4011 Gateway Blvd Ste 100
Newburgh, IN 47630-8947
Phone: (812) 858-2100
Fax: (812) 858-2120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1114284577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
Other names Deaconess Clinic I; Deaconess Clinic I
NPI enumeratedApril 23, 2012
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing addressPo Box 1510, Evansville, IN 47706-1510

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