DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1174295224
Internal Medicine - Interventional Cardiology in Carmi, IL

Active since September 28, 2021
1103 W MAIN ST, CARMI, IL 62821(618) 842-4617(618) 380-4565 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deaconess Specialty Physicians, Inc NPPES

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

DEACONESS SPECIALTY PHYSICIANS, INC (NPI 1174295224) is a healthcare organization registered as an interventional cardiology in Carmi, Illinois and active in the NPI registry since September 2021. The organization lists Cheryl Annette Wathen, Secretary-treasurer, as its authorized official.

NPPES Registry Identity

NPI1174295224
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS, INC
Location Address1103 W MAIN STCarmi, IL 62821-1380
Mailing AddressPo Box 1230Evansville, IN 47706-1230 · (812) 450-6815 · Fax (812) 450-6822
Fax(618) 380-4565
Organization SubpartNo
Authorized OfficialCheryl Annette WathenSecretary-treasurer · (812) 450-3296
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 10, 2021
NPI 1174295224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
1103 W MAIN ST, Carmi, IL 62821

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 2

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

Durable Medical Equipment & Medical Supplies
1103 W MAIN ST
CARMI, IL 62821
Clinic/Center (Rural Health)
1103 W MAIN ST
CARMI, IL 62821

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 1174295224. It was assigned to this organization in the NPPES registry on September 28, 2021.

Where is Deaconess Specialty Physicians, Inc located?

Deaconess Specialty Physicians, Inc is located at 1103 W Main St, Carmi, IL 62821. The listed phone number is (618) 842-4617.

What is Deaconess Specialty Physicians, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for Deaconess Specialty Physicians, Inc was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.