Deaconess Specialty Physicians Inc
Organization Active NPI Gastroenterology Physician · Jasper, IN
NPI 1831980614 · NPPES record last updated Apr 25, 2026
Key facts
- NPI
- 1831980614
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- DEACONESS SPECIALTY PHYSICIANS INC
- Practice address
- 721 W 13TH St
Jasper, IN 47546-1855 - Phone
- (812) 996-5671
- Fax
- (812) 996-5672
- NPI assigned
- May 13, 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 6
-
Karla Cox, LPCA
-
Jauhna K Deutsch, PA-C
-
Todd D Renschler, MD
-
Ian Douglas Stamps, M.D.
-
Milan S Valuch, PA
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 |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | |||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Gastroenterology Physician |
207RG0100X | Yes | ||
| Pulmonary Disease Physician |
207RP1001X | |||
| Psychiatry Physician |
2084P0800X | |||
| Surgery Physician |
208600000X | |||
| Interventional Pain Medicine Physician |
208VP0014X | |||
| Physician Assistant |
363A00000X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Nurse Practitioner |
363L00000X | |||
| Family Nurse Practitioner |
363LF0000X | |||
| Gerontology Nurse Practitioner |
363LG0600X | |||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
721 W 13TH St
Jasper, IN 47546-1855
Mailing address
PO Box 632111
Cincinnati, OH 45263-2111
Phone (812) 450-6879
Other providers in Jasper, IN
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians Inc
- Deaconess Specialty Physicians, Inc
- Logan Dellinger
- Patricia Ann Denio-Miller
- Michael K Denu
All providers in Jasper, IN · Gastroenterology 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 Apr 25, 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.