Deaconess Specialty Physicians Inc
Organization Active NPI Cardiovascular Disease Physician · Washington, IN
NPI 1891586079 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1891586079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- DEACONESS SPECIALTY PHYSICIANS INC
- Practice address
- 600 S State Road 57
Washington, IN 47501-4371 - Phone
- (812) 674-4040
- Fax
- (812) 674-4041
- 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 5
-
Rebecca A Gentry, P.A.
-
Michael Allen Nemeth, M.D.
-
Bruce Allen, 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 |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Interventional Cardiology Physician |
207RI0011X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
600 S State Road 57
Washington, IN 47501-4371
Mailing address
PO Box 632111
Cincinnati, OH 45263-2111
Phone (812) 450-6879
Other providers in Washington, IN
- Tanya De la Vergne
- Deaconess Clinic Inc
- Deaconess Memorial Medical Center Inc
- Deaconess Memorial Medical Center Inc
- Deaconess Memorial Medical Center Inc
- Cyrus Austin Deem
- Michele Diane Deitz
- Dennis U Atienza DO LLC
- Traci Gail Devers
- Jessica Brooke Devine
All providers in Washington, IN · Cardiovascular Disease 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 Jun 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.