Deaconess Specialty Physicians, Inc
NPI 1124522750 · Cardiovascular Disease Physician · Henderson, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Deaconess Specialty Physicians, Inc is a Cardiovascular Disease Physician organization in Henderson, KY (NPI 1124522750).
Provider details
- NPI number
- 1124522750
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Wathen, Secretary/Treasurer(812) 450-3296
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-20
- Last updated
- 2019-08-30
Frequently asked questions
- What is Deaconess Specialty Physicians, Inc's NPI number?
- Deaconess Specialty Physicians, Inc's National Provider Identifier (NPI) is 1124522750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deaconess Specialty Physicians, Inc?
- Deaconess Specialty Physicians, Inc is classified in the NPPES registry as Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Deaconess Specialty Physicians, Inc located?
- Deaconess Specialty Physicians, Inc's practice location on file with NPPES is 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788.
- What is Deaconess Specialty Physicians, Inc's phone number?
- The practice phone number listed in the NPPES registry for Deaconess Specialty Physicians, Inc is (270) 827-8811.
- Does Deaconess Specialty Physicians, Inc accept Medicare?
- Deaconess Specialty Physicians, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Deaconess Specialty Physicians, Inc?
- The authorized official listed on Deaconess Specialty Physicians, Inc's NPPES record is Cheryl Wathen, Secretary/Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deaconess Specialty Physicians, Inc's NPI active?
- Yes — Deaconess Specialty Physicians, Inc's NPI (1124522750) is active in the NPPES registry as of the last update on 2019-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.