National Provider Identifier Database

DEACONESS SPECIALTY PHYSICIANS INC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

DEACONESS SPECIALTY PHYSICIANS, INC
1300 MERRITT DR STE 110
HENDERSON, KY42420-2788
Phone: 270-827-8811
Fax: 270-827-8855
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Clinical Cardiac Electrophysiology 207RC0001X
Interventional Cardiology 207RI0011X
Medical 363AM0700X
Nurse Practitioner 363L00000X
Physician Assistant 363A00000X
Surgical 363AS0400X
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Vascular Surgery 2086S0129X

* Indicates primary specialty

NPI Profile & details for DEACONESS SPECIALTY PHYSICIANS, INC

NPI Number 1124522750
Legal business name
LBN
DEACONESS SPECIALTY PHYSICIANS, INC
Authorized official CHERYL WATHEN - (SECRETARY/TREASURER)
Entity Organization
Organization subpart No
Enumeration date 03/20/2018
Last updated 08/30/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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