DEACONESS SPECIALTY PHYSICIANS, INC; NPI #1114421740

Contact Information

DEACONESS SPECIALTY PHYSICIANS, INC

2200 E PARRISH AVE
OWENSBORO, KY 42303-1449

Phone: 812-450-7899
Fax: 812-450-6029
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine
Clinical Cardiac Electrophysiology	207RC0001X	11	Physician/Internal Medicine
Interventional Cardiology	207RI0011X	11	Physician/Internal Medicine
Medical	363AM0700X	97	Physician Assistant
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Physician Assistant	363A00000X	97	Physician Assistant
Surgical	363AS0400X	97	Physician Assistant
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X	02	Physician/General Surgery
Vascular Surgery	2086S0129X	76	Physician/Peripheral Vascular Disease

Indicates primary specialty

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NPI Profile & details for DEACONESS SPECIALTY PHYSICIANS, INC

NPI #	`1114421740`
LBN Legal business name	DEACONESS SPECIALTY PHYSICIANS, INC
Authorized official	CHERYL WATHEN - (SECRETARY/TREASURER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/20/2018
Last updated	11/05/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DEACONESS SPECIALTY PHYSICIANS, INC

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NPI Profile & details for DEACONESS SPECIALTY PHYSICIANS, INC

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