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DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1306344817
Internal Medicine - Cardiovascular Disease in Evansville, IN

Active since January 30, 2018CLIA 15D2173847 · Waiver
350 W COLUMBIA ST STE 310, EVANSVILLE, IN 47710(812) 450-7899(812) 450-6029 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2020, May 15, 2018, Mar 20, 2018 (3 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 1306344817) is a healthcare organization registered as a cardiovascular disease in Evansville, Indiana and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through October 20, 2027 and lists Cheryl A Wathen, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1306344817
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameDEACONESS SPECIALTY PHYSICIANS, INC
Location Address350 W COLUMBIA ST STE 310Evansville, IN 47710-1782
Mailing AddressPo Box 1230Evansville, IN 47706-1230 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 450-7899
Fax(812) 450-6029
Organization SubpartNo
Authorized OfficialCheryl A WathenSecretary/treasurer · (812) 450-3296
Enumeration DateJanuary 30, 2018
Last NPPES UpdateJune 23, 20203 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1306344817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
Also ListedNurse PractitionerTaxonomy 363L00000X
350 W COLUMBIA ST STE 310, Evansville, IN 47710
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2173847

Deaconess Specialty Physicians, Inc/Nephrology Columbia · Evansville, IN
Active · expires Oct 20, 2027
CLIA Number15D2173847
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2025
Certificate Expiration DateOctober 20, 2027
Laboratory DirectorNarothama Reddy Aeddula
Laboratory Phone(812) 492-5202
Laboratory LocationDeaconess Specialty Physicians, Inc/Nephrology Columbia533 W Columbia Street, Evansville, IN 47710
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

EMILY MCCOLLUM N.P.
Nurse Practitioner
350 W COLUMBIA ST STE 310
EVANSVILLE, IN 47710
Vanderburgh County (812) 464-9133
ELIZABETH MARIE LUCKETT P.A.
Physician Assistant
350 W COLUMBIA ST STE 310
EVANSVILLE, IN 47710
Vanderburgh County (812) 464-9133
DR. ENRIQUE PADILLA CAMPOS M.D.
Internal Medicine (Interventional Cardiology)
350 W COLUMBIA ST STE 310
EVANSVILLE, IN 47710
Vanderburgh County (812) 464-9133
TODD JOSEPH WANNEMUEHLER M.D.
Otolaryngology
350 W COLUMBIA ST STE 310
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-2646
AKSHAY GOEL
Internal Medicine (Cardiovascular Disease)
350 W COLUMBIA ST STE 310
EVANSVILLE, IN 47710
Vanderburgh County (646) 785-1084
DANA MICHELLE HUMPHREY FNP
Nurse Practitioner
350 W COLUMBIA ST STE 310
EVANSVILLE, IN 47710
Vanderburgh County (812) 425-2646
JESSICA L TAMELER PA
Physician Assistant
350 W COLUMBIA ST STE 310
EVANSVILLE, IN 47710
Vanderburgh County (812) 464-9133
TIFFANY ADKINS
Nurse Practitioner
350 W COLUMBIA ST STE 310
EVANSVILLE, IN 47710
Vanderburgh County (812) 464-9133

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 1306344817. It was assigned to this organization in the NPPES registry on January 30, 2018.

Where is Deaconess Specialty Physicians, Inc located?

Deaconess Specialty Physicians, Inc is located at 350 W Columbia St Ste 310, Evansville, IN 47710. 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.

Does Deaconess Specialty Physicians, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2173847) is associated with this NPI, valid through October 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Specialty Physicians, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Deaconess Specialty Physicians, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Specialty Physicians, Inc was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.