Deaconess Specialty Physicians Inc
Organization Active NPI Orthopaedic Surgery Physician · Jasper, IN
NPI 1124819388 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1124819388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- DEACONESS SPECIALTY PHYSICIANS INC
- Practice address
- 695 2ND St
Jasper, IN 47546-3240 - Phone
- (812) 996-5950
- Fax
- (812) 996-5951
- NPI assigned
- May 15, 2025
- Organization subpart
- No
Authorized official
- Name
- Cheryl Annette Wathen
- Title
- Cfo
- Phone
- (812) 450-3296
Other NPIs on the same Medicare enrollment 30
Corporate family (same tax ID) 40
Practitioners 2
-
Jessica L Hoesli, PA-C
-
Sohail Qadir, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180702001637 | IN | Part B Supplier - Clinic/Group Practice | 0244595205 |
Receives reassigned benefits from 283 practitioners 30 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newburgh, IN; Washington, IN; Vincennes, IN; Santa Claus, IN; Princeton, IN; Linton, IN; Jasper, IN; Evansville, IN… |
National Provider Directory
- Tax ID family
- Deaconess Specialty Physicians Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
695 2ND St
Jasper, IN 47546-3240
Mailing address
PO Box 632111
Cincinnati, OH 45263-2111
Phone (812) 450-6879
Other providers in Jasper, IN
- Deaconess Memorial Medical Center Inc
- Deaconess Memorial Medical Center Inc
- Deaconess Memorial Medical Center, Inc.
- Deaconess Memorial Medical Center, Inc.
- Deaconess Memorial Medical Center, Inc.
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
All providers in Jasper, IN · Orthopaedic Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.