DEACONESS SPECIALITY PHYSICIANS INC NPI 1538731641

NPI Information

  • NPI: 1538731641
  • Provider Name: DEACONESS SPECIALITY PHYSICIANS, INC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • CLIA Number: 15D2313460
  • Address: 4209 GATEWAY BLVD
    NEWBURGH, IN
    ZIP 47630
  • Phone: (812) 492-5202

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NPI Details

DEACONESS SPECIALITY PHYSICIANS, INC is an endocrinology and diabetes and metabolism internal medicine in Newburgh, 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 1538731641. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4209 GATEWAY BLVD
NEWBURGH, IN
ZIP 47630-900
Phone: (812) 492-5202
Fax: (812) 450-8102

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

The CLIA number assigned to this NPI record is 15D2313460 - 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 7/20/2021.

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
2207RN0300XInternal MedicineNephrologyNo
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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