DEACONESS MEDICAL GROUP - SPECIALTY – NPI #1952325409
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

DEACONESS MEDICAL GROUP - SPECIALTY is a dermatologist located in EVANSVILLE, IN. NPPES has assigned the NPI number 1952325409 to DEACONESS MEDICAL GROUP - SPECIALTY on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DEACONESS MEDICAL GROUP - SPECIALTY” is a dba name, the actual legal business name for this organization is DEACONESS HOSPITAL, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 19 years ago on Oct 19, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEACONESS MEDICAL GROUP - SPECIALTY below.

NPI Profile for
DEACONESS HOSPITAL, INC

NPI Number
1952325409
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEACONESS HOSPITAL, INC
Doing Business As (dba): DEACONESS MEDICAL GROUP - SPECIALTY
Primary location
519 HARRIET ST
EVANSVILLE, IN 47710-1715
Phone: (812) 423-9699 Fax: (812) 434-2025
Mailing address
PO BOX 3407
EVANSVILLE, IN 47733-3407
Phone: (812) 450-6815 Fax: (812) 450-6822
Organization Subpart
No
Authorized Official
RICHARD STIVERS
SR VICE PRESIDENT, CFO
Phone: (812) 450-3296
Updated
Identifiers

Identifiers for DEACONESS MEDICAL GROUP - SPECIALTY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MCARE GROUP #INCG1119
MEDICAIDKY65931586
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.