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.
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 |
| NPI Number | 1306344817 |
| LBN Legal business name | DEACONESS SPECIALTY PHYSICIANS, INC |
| Authorized official | CHERYL WATHEN - (SECRETARY/TREASURER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/30/2018 |
| Last updated | 06/23/2020 - About 6 years ago |
| Identifiers | n/a |
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