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

Deaconess Clinic Inc

Organization Gastroenterology Physician · NPI 1972165421

Deaconess Clinic Inc is a Gastroenterology Physician in Henderson, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
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

1305 N Elm St Ste G
Henderson, KY 42420-2783
Phone: (270) 827-0064
Fax: (270) 826-3338
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Pediatric Gastroenterology Physician Taxonomy 2080P0206X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1972165421
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
Other names Deaconess Clinic - Henderson Mob; Deaconess Clinic - Henderson Mob
NPI enumeratedJuly 5, 2019
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing addressPo Box 1510, Evansville, IN 47706-1510

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