DEACONESS SPECIALITY PHYSICIANS INC NPI 1407428519

NPI Information

  • NPI: 1407428519
  • Provider Name: DEACONESS SPECIALITY PHYSICIANS, INC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • CLIA Number: 15D2232879
  • Address: 120 SE 4TH ST
    EVANSVILLE, IN
    ZIP 47708
  • Phone: (812) 426-6638

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NPI Details

DEACONESS SPECIALITY PHYSICIANS, INC is an endocrinology and diabetes and metabolism internal medicine in Evansville, IN. The provider is 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. DEACONESS SPECIALITY PHYSICIANS, INC NPI is 1407428519. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 SE 4TH ST
EVANSVILLE, IN
ZIP 47708-607
Phone: (812) 426-6638
Fax: (812) 858-6802

The provider's authorized official is Cheryl Annette Wathen .
The authorized official title is Credentialing Specialist and has the following contact phone number (812) 450-3296.

The CLIA number assigned to this NPI record is 15D2232879 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2021 and was last updated on 9/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes
2207RR0500XInternal MedicineRheumatologyNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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