OrganizationActive
Deaconess Specialty Physicians, Inc
NPI 1174027544 · Cardiovascular Disease Physician · Fairfield, IL
Provider details
- NPI number
- 1174027544
- 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
Profile Score
Established profile(68/100 index)
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
209 Nw 11th St
Fairfield, IL 62837
Phone: (812) 450-7899
Fax: (812) 450-6029
Street-level locationGet directions
Mailing address
Po Box 1230
Evansville, IN 47706-1230
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2018-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.