DEACONESS CLINIC, INC. – NPI #1174490940
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Health Care Provider Taxonomy Code for Pediatrics

DEACONESS CLINIC, INC. is a provider located in HENDERSON, KY. NPPES has assigned the NPI number 1174490940 to DEACONESS CLINIC, INC. on October 17, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

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
1174490940
Enumeration Date

(about 8 months 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
1305 N ELM ST
HENDERSON, KY 42420-2783
Phone: (812) 450-6879 Fax: (812) 858-4586
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHERYL WATHEN
CFO
Phone: (812) 450-3296
Updated
Certification Date
Oct 17, 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
2080P0202X
- Pediatrics / Pediatric Cardiology (Primary)

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.