DEACONESS SPECIALTY PHYSICIANS, INC (NPI# 1679077200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679077200 |
| Entity Type | Organization |
| Organization Name | DEACONESS SPECIALTY PHYSICIANS, INC |
| Practice Address |
440 Scott Rolen Dr Jasper IN 47546 |
| 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 |
440 SCOTT ROLEN DR |
| City | JASPER |
| State | IN |
| Zip Code | 47546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295725299 | Jerry Crook | Internal Medicine | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2005-10-21 |
| 1962053579 | Benjamin J Weyer | Physician Assistant | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2019-09-25 |
| 1871090100 | Tiffany J Murrell | Nurse Practitioner | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2018-04-12 |
| 1073925095 | Emily Leinenbach | Registered Nurse | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2014-05-26 |
| 1386937944 | Robert Ryan Quade | Internal Medicine | 440 Scott Rolen Dr, Jasper, IN 47546 | 2011-05-16 |
| 1841422409 | Natalie J O'connor | Registered Nurse | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2009-08-17 |
| 1467690529 | Little Company of Mary Hospital of Indiana Inc | Internal Medicine | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2009-01-28 |
| 1982884631 | Heartland Cardiology Associates LLC | Internal Medicine | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2007-11-10 |
| 1407903396 | Geoffrey A Day | Internal Medicine | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2007-01-04 |
| 1558383869 | Joshua C. Leonard | Internal Medicine | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| 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 |
|---|---|---|---|---|
| 1033182043 | Jimmie Dale Cannon Jr. | Internal Medicine | 220 J.l. White Drive, Suite 100, Jasper, GA 30143-4894 | 2006-02-09 |
| 1295725299 | Jerry Crook | Internal Medicine | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2005-10-21 |
| 1407120058 | Michael Duren Md Facp A Professional Association | Internal Medicine | 315 W Houston St, Jasper, TX 75951-4013 | 2012-02-29 |
| 1982884631 | Heartland Cardiology Associates LLC | Internal Medicine | 440 Scott Rolen Dr, Jasper, IN 47546-2700 | 2007-11-10 |
| 1154517357 | Adam S Dawkins M D P C | Internal Medicine | 950 Memorial Dr, Jasper, IN 47546-2625 | 2007-09-20 |
| 1649284779 | Phillip R Dawkins Md PC | Internal Medicine | 950 Memorial Dr, Jasper, IN 47546-2625 | 2006-07-27 |
| 1205870524 | Grandview Cardiology, LLC | Internal Medicine | 980 Highway 28, Suite 102, Jasper, TN 37347-3695 | 2006-06-16 |
| 1790729697 | Malvinder S Makhni | Internal Medicine | 980 Highway 28, Suite 101, Jasper, TN 37347-3695 | 2006-06-15 |
| 1588616510 | Richard A Ryder | Internal Medicine | 220 J.l. White Drive, Suite 100, Jasper, GA 30143-4894 | 2006-05-17 |
| 1881657500 | Michael Duren | Internal Medicine | 315 W Houston St, Jasper, TX 75951-4013 | 2006-04-11 |
| Find all providers in JASPER | ||||
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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.