DEACONESS SPECIALTY PHYSICIANS, INC (NPI# 1114421740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114421740 |
Entity Type | Organization |
Organization Name | DEACONESS SPECIALTY PHYSICIANS, INC |
Practice Address |
2200 E Parrish Ave Bldg A Owensboro KY 42303 |
Mailing Address |
Po Box 1230 Evansville IN 47706-1230 |
Practice Telephone | 8124507899 |
Practice Fax Number | 8124506029 |
Mailing Telephone | 8124507899 |
Mailing Fax Number | 8124506029 |
Enumeration Date | 2018-03-20 |
Last Update Date | 2018-05-15 |
Authorized Official Name | CHERYL A WATHEN (SECRETARY/TREASURER) |
Authorized Official Telephone | 8124503296 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508363185 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1340 Il Highway 1 Ste A, Carmi, IL 62821 | 2018-04-10 |
1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
1841763380 | Deaconess Specialty Physicians, Inc | Internal Medicine | 3346 Professional Park, Owensboro, KY 42303-4551 | 2019-01-08 |
1477041556 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4015 Gateway Blvd Ste 2120, Newburgh, IN 47630 | 2018-04-25 |
1831693217 | Deaconess Specialty Physicians, Inc | Internal Medicine | 800 E Locust St, Olney, IL 62450 | 2018-03-21 |
1174027544 | Deaconess Specialty Physicians, Inc | Internal Medicine | 209 Nw 11th St, Fairfield, IL 62837 | 2018-03-21 |
1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
1851895486 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1808 Sherman Dr, Princeton, IN 47670 | 2018-03-20 |
1124522750 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2018-03-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DEACONESS SPECIALTY PHYSICIANS, INC. | 600 Mary St, Evansville, IN 47710-1658 |
Street Address |
2200 E PARRISH AVE BLDG A |
City | OWENSBORO |
State | KY |
Zip Code | 42303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801152434 | Steven Roby | Family Medicine | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2012-04-09 |
1770022550 | Joan Katherine Topp | Nurse Practitioner | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2017-02-14 |
1174065718 | Amanda Buchanan | Nurse Practitioner | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2016-11-14 |
1972951622 | Matthew Finley | Physician Assistant | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2016-06-02 |
1871960948 | Angela Rogers | Nurse Practitioner | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2015-08-25 |
1407195126 | Wendy A Noles | Nurse Practitioner | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303 | 2013-02-01 |
1952650749 | Jill Spencer Miller | Nurse Practitioner | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303-1453 | 2012-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
Find all providers in zip 42303 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093820953 | Roshan K. Mathew | Internal Medicine | 3110 Fairview Dr, Owensboro, KY 42303-2175 | 2006-08-20 |
1174510168 | Mary L Oberst | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303-9774 | 2005-10-04 |
1841502309 | Kebede W Shire | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2010-07-12 |
1619165644 | Kentucky Cardiovascular Consultants Pllc | Internal Medicine | 2200 E Parrish Ave, Bldg B, Ll103, Owensboro, KY 42303-1449 | 2007-10-03 |
1922136910 | Robert G. Reed | Internal Medicine | 1200 Breckenridge St, Suite 101, Owensboro, KY 42303-1089 | 2007-03-01 |
1376606830 | Michael Bryant Kelley | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2006-12-18 |
1548331408 | Cardiovascular Consultants Psc | Internal Medicine | 815 E Parrish Ave, Suite 330, Owensboro, KY 42303-3222 | 2006-11-13 |
1346348992 | Tseday E. Sirak | Internal Medicine | 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303 | 2006-09-20 |
1316051899 | Christopher J. Havelda | Internal Medicine | 1301 Pleasant Valley Rd, Suite 202, Owensboro, KY 42303-9774 | 2006-08-19 |
1992753727 | Kishor N Vora | Internal Medicine | 1200 Breckenridge St, Owensboro, KY 42303-1089 | 2006-05-04 |
Find all providers in OWENSBORO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.