OrganizationActive
Deaconess Speciality Physicians, Inc
NPI 1407428519 · Endocrinology, Diabetes & Metabolism Physician · Evansville, IN
Provider details
- NPI number
- 1407428519
- Entity type
- Organization
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cheryl Wathen, Credentialing Specialist(812) 450-3296
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
120 Se 4th St
Evansville, IN 47708-1607
Phone: (812) 426-6638
Fax: (812) 858-6802
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1230
Evansville, IN 47706-1230
Registry dates
- Enumerated
- 2021-07-16
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.