Deaconess Specialty Physicians, Inc
Organization Active NPI Pain Medicine (Physical Medicine & Rehabilitation) Physician · Princeton, IN
NPI 1386367191 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1386367191
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X
- Legal business name
- DEACONESS SPECIALTY PHYSICIANS, INC
- Practice address
- 1808 Sherman Dr Ste 2204
Princeton, IN 47670-1043 - Phone
- (812) 385-1701
- Fax
- (812) 385-9327
- NPI assigned
- Sep 26, 2022
- Organization subpart
- No
Authorized official
- Name
- Cheryl Annette Wathen
- Title
- Secretary-Treas
- Phone
- (812) 450-3296
Other NPIs on the same Medicare enrollment 30
Corporate family (same tax ID) 40
Practitioners 3
-
Jarred S Lampert, PA
-
Jesse Z Li, MD
-
Glenn Allen Nanney Jr., 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
Locations
1808 Sherman Dr
Ste 2204
Princeton, IN 47670
Phone (812) 385-1701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician |
2081P2900X | Yes | ||
| Interventional Pain Medicine Physician |
208VP0014X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
1808 Sherman Dr Ste 2204
Princeton, IN 47670-1043
Mailing address
PO Box 1230
Evansville, IN 47706-1230
Phone (812) 450-6815
Other providers in Princeton, IN
- Deaconess Clinic, Inc.
- Deaconess Hospital, Inc
- Deaconess Hospital, Inc
- Deaconess Hospital, Inc
- Deaconess Hospital, Inc
- Deaconess Specialty Physicians, Inc
- Madison Deffendall
- Betty Dillingham
- Lauren Durchholz
- William Curtis Earnest V
All providers in Princeton, IN · Pain Medicine (Physical Medicine & Rehabilitation) 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 Mar 16, 2026. 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.