OrganizationActive
Deaconess Clinic, Inc
NPI 1003159997 · Pediatrics Physician · Henderson, KY
Provider details
- NPI number
- 1003159997
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Wathen, Cfo(812) 450-3296
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Nurse Practitioner363LP0200X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1035 N Elm St
Henderson, KY 42420-2712
Phone: (270) 827-4596
Fax: (270) 826-2838
Street-level locationGet directions
Mailing address
Po Box 1510
Evansville, IN 47706-1510
Other names (DBA / former)
- Doing business as
- Deaconess Clinic I
Registry dates
- Enumerated
- 2013-03-29
- Last updated
- 2017-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.