Deaconess Clinc Inc
NPI 1053077107 · Dermatology Physician · Madisonville, KY
Deaconess Clinc Inc is a Dermatology Physician organization in Madisonville, KY (NPI 1053077107).
Provider details
- NPI number
- 1053077107
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Wathen, Cfo(812) 450-3296
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Doing business as
- Deaconess Clinic Dermatology Madisonville
Registry dates
- Enumerated
- 2021-11-12
- Last updated
- 2021-11-12
- Certified
- 2021-11-12
Frequently asked questions
- What is Deaconess Clinc Inc's NPI number?
- Deaconess Clinc Inc's National Provider Identifier (NPI) is 1053077107, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deaconess Clinc Inc?
- Deaconess Clinc Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Deaconess Clinc Inc located?
- Deaconess Clinc Inc's practice location on file with NPPES is 1851 N Main St, Madisonville, KY 42431-9024.
- What is Deaconess Clinc Inc's phone number?
- The practice phone number listed in the NPPES registry for Deaconess Clinc Inc is (812) 450-6859.
- Who is the authorized official for Deaconess Clinc Inc?
- The authorized official listed on Deaconess Clinc Inc's NPPES record is Cheryl Wathen, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deaconess Clinc Inc's NPI active?
- Yes — Deaconess Clinc Inc's NPI (1053077107) is active in the NPPES registry as of the last update on 2021-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.