DEACONESS CLINIC INC – NPI #1104617141
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

DEACONESS CLINIC INC is a provider located in JASPER, IN. NPPES has assigned the NPI number 1104617141 to DEACONESS CLINIC INC on May 16, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

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 CLINIC INC below.

NPI Profile for
DEACONESS CLINIC INC

NPI Number
1104617141
Enumeration Date

(more than a year 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 CLINIC INC
Primary location
721 W 13TH ST
JASPER, IN 47546-1855
Phone: (812) 996-7918 Fax: (812) 996-1644
Mailing address
PO BOX 631767
CINCINNATI, OH 45263-2767
Phone: (812) 450-6879 Fax:
Organization Subpart
No
Authorized Official
CHERYL WATHEN
CFO
Phone: (812) 450-3296
Updated
Certification Date
May 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

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.