DEACONESS CLINIC I
NPI 1225468937
Allergy & Immunology in Princeton, IN
NPI Status: Active since November 15, 2013
Contact Information
4840 S MAPLE TREE DR
PRINCETON, IN
ZIP 47670
Phone: (812) 479-3153
Fax: (812) 473-8166
- Organization
- Allergy & Immunology
- Accepts Insurance
- CLIA Number: 15D2015465
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-27-2026
About DEACONESS CLINIC I
This page provides the complete NPI Profile along with additional information for Deaconess Clinic I, a provider established in Princeton, Indiana operating as a Allergy & Immunology. The healthcare provider is registered in the NPI registry with number 1225468937 assigned on November 2013. The practitioner's primary taxonomy code is 207K00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Deaconess Clinic I operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Deaconess Clinic I. The authorized official of this NPI record is Cheryl A Wathen (Cfo)
- NPI
- 1225468937
- Provider Legal Name
- DEACONESS CLINIC, INC
- Other Organization Name
- DEACONESS CLINIC I
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4840 S MAPLE TREE DR PRINCETON, IN 47670
- Location Phone
- (812) 479-3153
- Location Fax
- (812) 473-8166
- Mailing Address
- PO BOX 1510 EVANSVILLE, IN 47706
- Mailing Phone
- (812) 479-3153
- Mailing Fax
- (812) 473-8166
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2013
- Last Update Date
- 08-10-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Allergy & Immunology
- Taxonomy Code
- 207K00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IN
- Taxonomy Description
- An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 3500 HSA (+ Incentives) - HMO
- Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2015465
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2024
- Certificate Expiration Date
- October 27, 2026
- Laboratory Director
- JASON F. WHITE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Deaconess Clinic I to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for DEACONESS CLINIC I
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 2 | 5 | 4 | 6 | 8 | 9 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 4 | 5 | 8 | 6 | 16 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 4 + 5 + 8 + 6 + 1 + 6 + 9 + 6 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1225468937 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730587809 | GIBSON GENERAL HOSPITAL INC Organization | General Acute Care Hospital (Critical Access) | 4840 S MAPLE TREE DR PRINCETON, IN 47670 (812) 387-4444 |
| 1285124982 | KACI DAWN BROWNING APRN Individual | Nurse Practitioner (Family) | 4840 S MAPLE TREE DR PRINCETON, IN 47670 (812) 387-4000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225468937, enumerated in the NPI registry as an "organization" on November 15, 2013
The provider is located at 4840 S Maple Tree Dr Princeton, In 47670 and the phone number is (812) 479-3153
This medical organization specializes in Allergy & Immunology with taxonomy code 207K00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 15D2015465 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on November 15, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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