DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1174027544
Internal Medicine - Cardiovascular Disease in Fairfield, IL

Active since March 21, 2018
209 NW 11TH ST, FAIRFIELD, IL 62837(812) 450-7899(812) 450-6029 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2018, Mar 21, 2018 (2 updates tracked since 2018).

About Deaconess Specialty Physicians, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS SPECIALTY PHYSICIANS, INC (NPI 1174027544) is a healthcare organization registered as a cardiovascular disease in Fairfield, Illinois and active in the NPI registry since March 2018. The organization lists Cheryl A Wathen, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1174027544
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS, INC
Location Address209 NW 11TH STFairfield, IL 62837
Mailing AddressPo Box 1230Evansville, IN 47706-1230 · (812) 450-7899 · Fax (812) 450-6029
Fax(812) 450-6029
Organization SubpartNo
Authorized OfficialCheryl A WathenSecretary/treasurer · (812) 450-3296
Enumeration DateMarch 21, 2018
Last NPPES UpdateMay 15, 20182 updates tracked since enumeration
NPI 1174027544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
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.
209 NW 11TH ST, Fairfield, IL 62837

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
209 NW 11TH ST
FAIRFIELD, IL 62837
Registered Nurse
209 NW 11TH ST
FAIRFIELD, IL 62837
Licensed Practical Nurse
209 NW 11TH ST
FAIRFIELD, IL 62837
Registered Nurse
209 NW 11TH ST
FAIRFIELD, IL 62837
Registered Nurse
209 NW 11TH ST
FAIRFIELD, IL 62837
Registered Nurse
209 NW 11TH ST
FAIRFIELD, IL 62837
Radiologic Technologist
209 NW 11TH ST
FAIRFIELD, IL 62837
Physician Assistant
209 NW 11TH ST
FAIRFIELD, IL 62837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Specialty Physicians, Inc's NPI number?

The NPI number for Deaconess Specialty Physicians, Inc is 1174027544. It was assigned to this organization in the NPPES registry on March 21, 2018.

Where is Deaconess Specialty Physicians, Inc located?

Deaconess Specialty Physicians, Inc is located at 209 NW 11th St, Fairfield, IL 62837. The listed phone number is (812) 450-7899.

What is Deaconess Specialty Physicians, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Deaconess Specialty Physicians, Inc was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.