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DEACONESS SPECIALITY PHYSICIANS, INC
NPI 1407428519
Internal Medicine - Endocrinology, Diabetes & Metabolism in Evansville, IN

Active since July 16, 2021CLIA 15D2232879 · Waiver
120 SE 4TH ST, EVANSVILLE, IN 47708(812) 426-6638(812) 858-6802 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2024, Jul 16, 2021 (2 updates tracked since 2021).

About Deaconess Speciality Physicians, Inc NPPES

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

DEACONESS SPECIALITY PHYSICIANS, INC (NPI 1407428519) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Evansville, Indiana and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through August 17, 2027 and lists Cheryl Annette Wathen, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1407428519
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameDEACONESS SPECIALITY PHYSICIANS, INC
Location Address120 SE 4TH STEvansville, IN 47708-1607
Mailing AddressPo Box 1230Evansville, IN 47706-1230
Phone(812) 426-6638
Fax(812) 858-6802
Organization SubpartNo
Authorized OfficialCheryl Annette WathenCredentialing Specialist · (812) 450-3296
Enumeration DateJuly 16, 2021
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1407428519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
120 SE 4TH ST, Evansville, IN 47708
Open in Google Maps ↗

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 and more.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 15D2232879

Deaconess Specialty Physicians, Inc · Evansville, IN
Active · expires Aug 17, 2027
CLIA Number15D2232879
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorYousef Altowaireb
Laboratory Phone(812) 426-6638
Laboratory LocationDeaconess Specialty Physicians, Inc120 SE Fourth Street, Third Floor, Evansville, IN 47708
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DEACONESS HOSPITAL, INC.
Psychologist
120 SE 4TH ST
EVANSVILLE, IN 47708
Vanderburgh County (812) 426-9779
KRISTIE WATSON NP
Nurse Practitioner
120 SE 4TH ST
EVANSVILLE, IN 47708
Vanderburgh County (812) 426-9355
DEACONESS CLINC INC
Internal Medicine
120 SE 4TH ST
EVANSVILLE, IN 47708
Vanderburgh County (812) 450-6966
MCKENZIE LUEKEN
Physician Assistant
120 SE 4TH ST
EVANSVILLE, IN 47708
Vanderburgh County (812) 426-9311
BRIAN THOMAS LONGWELL PSYD
Psychologist (Clinical)
120 SE 4TH ST
EVANSVILLE, IN 47708
Vanderburgh County (812) 426-9862
DR. DYLAN EUGENE GREENEY MD
Dermatology
120 SE 4TH ST
EVANSVILLE, IN 47708
Vanderburgh County (812) 426-9355
DAVID SURPRENANT
Dermatology (MOHS-Micrographic Surgery)
120 SE 4TH ST
EVANSVILLE, IN 47708
Vanderburgh County (812) 463-4306
WILLIAM G PHILLIPS
Psychologist
120 SE 4TH ST
EVANSVILLE, IN 47708
Vanderburgh County (812) 426-9779

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 Speciality Physicians, Inc's NPI number?

The NPI number for Deaconess Speciality Physicians, Inc is 1407428519. It was assigned to this organization in the NPPES registry on July 16, 2021.

Where is Deaconess Speciality Physicians, Inc located?

Deaconess Speciality Physicians, Inc is located at 120 SE 4th St, Evansville, IN 47708. The listed phone number is (812) 426-6638.

What is Deaconess Speciality Physicians, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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

Yes. A Certificate of Waiver (number 15D2232879) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Deaconess Speciality Physicians, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Deaconess Speciality 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 Speciality Physicians, Inc was last updated on September 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.