DEACONESS SPECIALTY PHYSICIANS, INC


Address: 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788
Phone: 2708278811

DEACONESS SPECIALTY PHYSICIANS, INC (NPI# 1124522750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124522750
Entity Type Organization
Organization Name DEACONESS SPECIALTY PHYSICIANS, INC
Practice Address 1300 Merritt Dr Ste 110
Henderson
KY 42420-2788
Mailing Address Po Box 1230
Evansville
IN 47706-1230
Practice Telephone 2708278811
Practice Fax Number 2708278855
Mailing Telephone 8124507899
Mailing Fax Number 8124506029
Enumeration Date 2018-03-20
Last Update Date 2019-08-30
Authorized Official Name CHERYL A WATHEN (SECRETARY/TREASURER)
Authorized Official Telephone 8124503296
Is Organization Subpart N

Taxonomy

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

Other Provider IDs and Locations

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
1114421740 Deaconess Specialty Physicians, Inc Internal Medicine 2200 E Parrish Ave Bldg A, Owensboro, KY 42303 2018-03-20

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DEACONESS SPECIALTY PHYSICIANS, INC. 600 Mary St, Evansville, IN 47710-1658

Office Location

Street Address 1300 MERRITT DR STE 110
City HENDERSON
State KY
Zip Code 42420-2788

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710329776 Jovil Kannampuzha Internal Medicine 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 2013-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174136337 Virtual Consult Md LLC Psychiatry & Neurology 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 2020-08-27
1679062731 Maranda Wortham Miles Nurse Practitioner 2242 Hwy 41 North, Henderson, KY 42420 2018-05-04
1780124297 Lisa Lovell Nurse Practitioner 230 North Green Street, Henderson, KY 42420 2017-03-02
1437540614 Kala Hovermale Social Worker 220 2nd Street Ste 406, Henderson, KY 42420 2015-02-10
1972991537 Jessica Thomas Counselor 230 Second St, Suite 406, Henderson, KY 42420 2015-01-06
1255690962 Green River District Health Department Public Health or Welfare 631 N. Green Street, Henderson, KY 42420 2012-05-15
1588922769 Jonathan M Mosley Family Medicine 1200 Barrett Blvd, Henderson, KY 42420 2012-04-25
1093099731 Gregory Ayuk Pharmacist 402 Second Street, Henderson, KY 42420 2011-09-29
1437488137 Peter J. Doll, D.p.m. Durable Medical Equipment & Medical Supplies 323 8th St., Henderson, KY 42420 2009-12-09
1760626402 Linda Dalton Keith Nurse Practitioner 1704 2nd St, Henderson, KY 42420 2009-04-24
Find all providers in zip 42420

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164909396 Nevada Heart and Vascular Center, (resh) LLP. Internal Medicine 2839 St. Rose Pkwy., Ste. 160, Henderson, NV 89052-4849 2018-07-20
1255823571 Ram K Singh Md Ltd Internal Medicine 10410 S Eastern Ave Ste 210, Henderson, NV 89052-4195 2018-06-01
1710329776 Jovil Kannampuzha Internal Medicine 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 2013-07-19
1285837997 Alfonso Li Tiu Internal Medicine 3032 Palatine Terrace Dr, Henderson, NV 89052-3000 2007-06-08
1518056464 Anjum Ismail Internal Medicine 2641 W Horizon Ridge Pkwy, Suite 120, Henderson, NV 89052-4830 2006-10-11
1053411165 Sydney Glen Short Internal Medicine 568 Ruin Creek Rd Ste 128, Henderson, NC 27536-5921 2006-09-25
1366540973 Sanjay Vohra Internal Medicine 8965 S Pecos Rd, Suite 12a, Henderson, NV 89074 2006-09-20
1205864865 Joshua G Leichman Internal Medicine 2865 Siena Heights Dr Ste 331, Henderson, NV 89052-4171 2006-06-30
1205882339 Chandrasekhar R. Narala Internal Medicine 2847 St Rose Pkwy, Ste 100, Henderson, NV 89052 2006-05-26
1699726240 Sunil Kalla Internal Medicine 2779 W Horizon Ridge Pkwy, Suite #240, Henderson, NV 89052-4184 2006-05-16
Find all providers in HENDERSON

Competitor

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City HENDERSON
Zip Code 42420

Improve Information

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Dataset Information

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.

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