DEACONESS SPECIALTY PHYSICIANS INC
NPI 1407647985
Internal Medicine - Nephrology in Jasper, IN

NPI Status: Active since May 14, 2025

Contact Information

721 W 13TH ST
JASPER, IN
ZIP 47546
Phone: (812) 996-7388
Fax: (812) 996-5933

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  • Organization
  • Internal Medicine
  • Nephrology

About DEACONESS SPECIALTY PHYSICIANS INC

This page provides the complete NPI Profile along with additional information for Deaconess Specialty Physicians Inc, an internist established in Jasper, Indiana operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1407647985 assigned on May 2025. The practitioner's primary taxonomy code is 207RN0300X. The provider is registered as an organization and their NPI record was last updated one year ago. Deaconess Specialty Physicians Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Cheryl Annette Wathen (Cfo)

NPI
1407647985
Provider Name
DEACONESS SPECIALTY PHYSICIANS INC
Entity Type
Organization
Location Address
721 W 13TH ST JASPER, IN 47546
Location Phone
(812) 996-7388
Location Fax
(812) 996-5933
Mailing Address
PO BOX 632111 CINCINNATI, OH 45263
Mailing Phone
(812) 450-6879
Mailing Fax
(812) 996-5933
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2025
Last Update Date
10-22-2025
Code Navigator

An internist like Deaconess Specialty Physicians Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
2363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHERYL ANNETTE WATHEN

Authorized Official Title
CFO
Authorized Official Phone
(812) 450-3296

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407647985, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 1 + 2 + 4 + 1 + 4 + 9 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1407647985.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
721 W 13TH ST
JASPER, IN 47546
Pediatrics
721 W 13TH ST, STE 321
JASPER, IN 47546
Pediatrics
721 W 13TH ST, STE 321
JASPER, IN 47546
Surgery
721 W 13TH ST, SUITE 220
JASPER, IN 47546
Family Medicine
721 W 13TH ST, SUITE 322
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST
JASPER, IN 47546
Psychiatry & Neurology (Neurology)
721 W 13TH ST, SUITE #221
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST, SUITE 101
JASPER, IN 47546
Otolaryngology
721 W 13TH ST, SUITE 325
JASPER, IN 47546
Family Medicine
721 W 13TH ST, STE 322
JASPER, IN 47546
Internal Medicine (Pulmonary Disease)
721 W 13TH ST, SUITE 221
JASPER, IN 47546
Urology
721 W 13TH ST, #222
JASPER, IN 47546
Clinic/Center (Primary Care)
721 W 13TH ST, SUITE 322
JASPER, IN 47546
Nurse Practitioner
721 W 13TH ST, SUITE 325
JASPER, IN 47546
Clinic/Center (Primary Care)
721 W 13TH ST, SUITE 322
JASPER, IN 47546
Nurse Practitioner (Pediatrics)
721 W 13TH ST, STE 321
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST, SUITE 121
JASPER, IN 47546
Social Worker (Clinical)
721 W 13TH ST, SUITE 121
JASPER, IN 47546
Pediatrics
721 W 13TH ST, SUITE 321
JASPER, IN 47546
Clinic/Center (Medical Specialty)
721 W 13TH ST, SUITE 208
JASPER, IN 47546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407647985, enumerated as an "organization" on May 14, 2025.

The provider is located at 721 W 13TH ST JASPER, IN 47546 and the phone number is (812) 996-7388.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.