DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1760986392
Internal Medicine - Cardiovascular Disease in Mount Carmel, IL

Active since March 20, 2018
1418 COLLEGE DR, MOUNT CARMEL, IL 62863(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: July 19, 2026.

Record update history: May 15, 2018, Mar 20, 2018 (2 updates tracked since 2018).

  • Organization
  • Internal Medicine
  • Cardiovascular Disease

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 Mount Carmel, Illinois operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1760986392 assigned on March 2018. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 8 years 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 A Wathen (Secretary/treasurer)

NPI
1760986392 Verify this NPI
Provider Name
DEACONESS SPECIALTY PHYSICIANS, INC
Entity Type
Organization
Location Address
1418 COLLEGE DR MOUNT CARMEL, IL 62863
Location Phone
(812) 450-7899
Location Fax
(812) 450-6029
Mailing Address
PO BOX 1230 EVANSVILLE, IN 47706
Mailing Phone
(812) 450-7899
Mailing Fax
(812) 450-6029
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2018
Last Update Date
05-15-2018
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 Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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)
1207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 
2207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 

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 A WATHEN

Authorized Official Title
SECRETARY/TREASURER
Authorized Official Phone
(812) 450-3296

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Other Providers at the Same Location


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

Emergency Medicine
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Nurse Anesthetist, Certified Registered
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Nurse Anesthetist, Certified Registered
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Dietitian, Registered
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Dietitian, Registered
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Occupational Therapist
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Physical Therapist (Orthopedic)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Occupational Therapist
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Physical Therapist
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Emergency Medicine
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Specialist/Technologist (Athletic Trainer)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Specialist/Technologist (Athletic Trainer)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Nurse Anesthetist, Certified Registered
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Physician Assistant
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Durable Medical Equipment & Medical Supplies
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Physician Assistant
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Clinic/Center (Medical Specialty)
1418 COLLEGE DR
MT CARMEL, IL 62863
Nurse Practitioner (Acute Care)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Nurse Anesthetist, Certified Registered
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Physician Assistant
1418 COLLEGE DR
MOUNT CARMEL, IL 62863

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760986392, enumerated as an "organization" on March 20, 2018.

The provider is located at 1418 COLLEGE DR MOUNT CARMEL, IL 62863 and the phone number is (812) 450-7899.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.