DEACONESS SPECIALTY PHYSICIANS, INC (NPI# 1851895486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851895486 |
| Entity Type | Organization |
| Organization Name | DEACONESS SPECIALTY PHYSICIANS, INC |
| Practice Address |
1808 Sherman Dr Princeton IN 47670 |
| 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 |
| 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 |
1808 SHERMAN DR |
| City | PRINCETON |
| State | IN |
| Zip Code | 47670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718363 | Rameshbhai P Patel | Internal Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2005-05-31 |
| 1447862958 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
| 1982216495 | Deaconess Clinic, Inc | Nurse Practitioner | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-08-18 |
| 1356975569 | Gibson General Hospital Inc. | Clinical Medical Laboratory | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-02-26 |
| 1487294468 | Mary Elizabeth Garner | Physical Therapist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-01-08 |
| 1952941809 | Becky Elizabeth Walk | Speech-Language Pathologist | 1808 Sherman Dr, Princeton, IN 47670-1000 | 2020-01-08 |
| 1972143899 | Katherine M Klump | Physical Therapist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2020-01-08 |
| 1700433588 | Deaconess Hospital, Inc | Pain Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-08-26 |
| 1194381327 | Hillary Goodman | Speech-Language Pathologist | 1808 Sherman Dr, Princeton, IN 47670-1000 | 2019-05-13 |
| 1700341872 | Mid West Hospital Physicians, Pllc | Hospitalist | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1497383046 | Jessy Roy Emmett | Hearing Instrument Specialist | 205 West State Street, Suite 1, Princeton, IN 47670 | 2020-03-30 |
| 1033643010 | Deaconess Hospital, Inc | Durable Medical Equipment & Medical Supplies | 1416 W. Broadway St, Princeton, IN 47670 | 2017-04-17 |
| 1558782383 | Jon O'keefe | Marriage & Family Therapist | 304 North 5th Avenue, Princeton, IN 47670 | 2013-12-20 |
| 1376828616 | Andrea Catherine Kohlmeyer | Dietitian, Registered | 2340 E 350 S, Princeton, IN 47670 | 2011-10-19 |
| 1710192802 | Sarah Ellen Anderson | Pharmacy Technician | 2005 W Broadway, Princeton, IN 47670 | 2007-05-11 |
| 1760602296 | Buehlers Buy Low Pharmacy | Pharmacy Technician | 2005 W. Broadway, Princeton, IN 47670 | 2007-04-26 |
| 1114066511 | Jon Robb | Pharmacist | 4924 S Maple Tree Drive, Princeton, IN 47670 | 2007-02-05 |
| 1558464172 | M S Krishna | Pediatrics | 312 North 3rd Ave, Princeton, IN 47670 | 2006-09-07 |
| 1255353967 | Gibson County Auditor | Ambulance | 225 N Hart Street, Princeton, IN 47670 | 2006-07-24 |
| Find all providers in zip 47670 | ||||
| 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 |
|---|---|---|---|---|
| 1497024210 | Enrico Paul Veltri | Internal Medicine | 6 Toftrees Ct, Princeton, NJ 08540-4217 | 2011-12-22 |
| 1578603692 | Fredrick M Weinberg | Internal Medicine | 193 N Harrison St, Princeton, NJ 08540-3517 | 2007-02-07 |
| 1366472151 | Rogelio M Pine | Internal Medicine | 253 Witherspoon St Fl 2, Lamnert House, Medical Ctr At Princeton, Princeton, NJ 08540-3211 | 2006-07-04 |
| 1851320634 | T J Mercuro | Internal Medicine | 800 Bunn Dr., Suite 101, Princeton, NJ 08540-1968 | 2006-07-02 |
| 1831180942 | David P Hall | Internal Medicine | 114 Edwards St, Princeton, KY 42445-2217 | 2005-10-31 |
| 1295015147 | 247 Heart & Vascular Management, Inc. | Internal Medicine | 211 Commons Way, Suite 211, Princeton, NJ 08540-1508 | 2011-08-24 |
| 1104143148 | Casey Wong | Internal Medicine | 419 N Harrison St, Princeton, NJ 08540-3521 | 2010-04-30 |
| 1396970208 | Desiree Marie Younes | Internal Medicine | 731 Alexander Rd, Suite 202, Princeton, NJ 08540-6345 | 2009-05-20 |
| 1578797981 | 247 Heart and Vascular Specialists PC | Internal Medicine | 211 Commons Way, Suite 211, Princeton, NJ 08540-1508 | 2009-05-13 |
| 1215190988 | Hrak Chemchirian | Internal Medicine | 508 New Hope Rd, #7, Princeton, WV 24740-2264 | 2008-07-03 |
| Find all providers in PRINCETON | ||||
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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.