DEACONESS SPECIALTY PHYSICIANS, INC (NPI# 1508363185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508363185 |
| Entity Type | Organization |
| Organization Name | DEACONESS SPECIALTY PHYSICIANS, INC |
| Practice Address |
1340 Il Highway 1 Ste A Carmi IL 62821 |
| 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 | 2018-04-10 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | CHERYL ANNETTE 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 | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1114421740 | Deaconess Specialty Physicians, Inc | Internal Medicine | 2200 E Parrish Ave Bldg A, Owensboro, KY 42303 | 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 |
1340 IL HIGHWAY 1 STE A |
| City | CARMI |
| State | IL |
| Zip Code | 62821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629580790 | Patricia Danielle Trout | Speech-Language Pathologist | 113 10th St., Carmi, IL 62821 | 2017-10-30 |
| 1851841159 | Rhonda Lenkaitis | Pharmacist | 1344 Il Hwy 1, Carmi, IL 62821 | 2016-10-11 |
| 1467884577 | Leevi Burnett | Physical Therapy Assistant | 216 College Blvd., Carmi, IL 62821 | 2013-07-31 |
| 1760731145 | Katie Beth Rowland | Occupational Therapist | Joyner Therapy Services, 108 April Avenue, Carmi, IL 62821 | 2012-08-31 |
| 1184952814 | James A Burzynski | Speech-Language Pathologist | Wabash Christian Retirement Center, 216 College Blvd, Carmi, IL 62821 | 2009-11-18 |
| 1609942317 | Robert Raymond Dolan | Dentist | 314 East Robinson Street, Carmi, IL 62821 | 2006-11-27 |
| 1710063292 | Zahid Saqib | Family Medicine | 402 S Plum, Carmi, IL 62821 | 2006-10-27 |
| 1356422844 | Wal-mart Stores, Inc | Technician/Technologist | 1344 Illinois Hwy #1, Carmi, IL 62821 | 2006-10-18 |
| 1710905229 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1344 Il Highway 1, Carmi, IL 62821 | 2006-07-17 |
| 1881663250 | David J Stricklin | Internal Medicine | 1340 Il Highway 1 Ste E, Carmi, IL 62821 | 2006-03-16 |
| Find all providers in zip 62821 | ||||
| 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 |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
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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.