DEACONESS SPECIALTY PHYSICIANS, INC (NPI# 1437650116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437650116 |
| Entity Type | Organization |
| Organization Name | DEACONESS SPECIALTY PHYSICIANS, INC |
| Practice Address |
206 S Washington St Mc Leansboro IL 62859 |
| Mailing Address |
Po Box 1230 Evansville IN 47706-1230 |
| Practice Telephone | 8124507899 |
| Practice Fax Number | 8124506029 |
| Mailing Telephone | 8124507899 |
| Mailing Fax Number | 8124506029 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | CHERYL A WATHEN (SECRETARY/TREASURER) |
| Authorized Official Telephone | 8124503296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508363185 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1340 Il Highway 1 Ste A, Carmi, IL 62821 | 2018-04-10 |
| 1396249926 | Deaconess Specialty Physicians, Inc | Physician Assistant | 1813 Willow St Ste 5a, Vincennes, IN 47591-4279 | 2018-03-20 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1841763380 | Deaconess Specialty Physicians, Inc | Internal Medicine | 3346 Professional Park, Owensboro, KY 42303-4551 | 2019-01-08 |
| 1477041556 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4015 Gateway Blvd Ste 2120, Newburgh, IN 47630 | 2018-04-25 |
| 1831693217 | Deaconess Specialty Physicians, Inc | Internal Medicine | 800 E Locust St, Olney, IL 62450 | 2018-03-21 |
| 1174027544 | Deaconess Specialty Physicians, Inc | Internal Medicine | 209 Nw 11th St, Fairfield, IL 62837 | 2018-03-21 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| 1851895486 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1808 Sherman Dr, Princeton, IN 47670 | 2018-03-20 |
| 1124522750 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1300 Merritt Dr Ste 110, Henderson, KY 42420-2788 | 2018-03-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEACONESS SPECIALTY PHYSICIANS, INC. | 600 Mary St, Evansville, IN 47710-1658 |
| Street Address |
206 S WASHINGTON ST |
| City | MC LEANSBORO |
| State | IL |
| Zip Code | 62859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081483 | Constance M Murrayii-henshaw | Nurse Practitioner | 206 S Washington St, Mc Leansboro, IL 62859-1139 | 2020-10-23 |
| 1891339453 | Ferrell Hospital Community Foundation | Clinic/Center | 206 S Washington St, Mc Leansboro, IL 62859-1139 | 2019-11-06 |
| 1689217820 | Ferrell Hospital Community Foundation | Clinic/Center | 206 S Washington St, Mc Leansboro, IL 62859-1139 | 2019-10-21 |
| 1821569005 | Ferrell Hospital Community Foundation | Family Medicine | 206 S Washington St, Mc Leansboro, IL 62859-1139 | 2018-12-16 |
| 1134610777 | Amy M Allen | Nurse Practitioner | 206 S Washington St, Mc Leansboro, IL 62859-1139 | 2018-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639598220 | Emily Knight | Speech-Language Pathologist | 10499 County Rd. 700 N., Mc Leansboro, IL 62859 | 2014-04-10 |
| 1235422130 | Hamilton Memorial Nursing and Rehabilitation Center, L.L.C. | Skilled Nursing Facility | 609 S Marshall Avenue, Mcleansboro, IL 62859 | 2011-05-25 |
| 1558673152 | Sai Prashanth Babu Palepu | Family Medicine | 611 South Marshall, Mcleansboro, IL 62859 | 2010-07-12 |
| 1831329416 | Nikki Diane Lynch | Occupational Therapy Assistant | Rr3 Box 108, Mcleansboro, IL 62859 | 2009-07-17 |
| 1952576639 | Rci Wrs Inc | Clinic/Center | 208 B South Washington Street, Mcleansboro, IL 62859 | 2008-04-24 |
| 1215110903 | Hamilton County Health Department | Clinic/Center | Courthouse Room 5, Mcleansboro, IL 62859 | 2007-12-17 |
| 1366504888 | Crossroads Physician Corp | Physician Assistant | 208 S Washington Street, Mcleansboro, IL 62859 | 2006-12-14 |
| 1033291034 | Brett Allen Watkins | Chiropractor | 301 S Jackson, Mcleansboro, IL 62859 | 2006-10-19 |
| 1609837665 | Hamilton Memorial Hospital District | Clinic/Center | 611 S Marshall Avenue, Mcleansboro, IL 62859 | 2006-03-30 |
| 1114216686 | Jefferson County Comprehensive Svc | Clinic/Center | Rr 5, Mcleansboro, IL 62859 | 2011-04-05 |
| Find all providers in zip 62859 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
| 1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
| 1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
| 1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
| 1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
| 1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
| 1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
| 1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
| Find all providers with the same taxonomy | ||||
| City | MC LEANSBORO |
| Zip Code | 62859 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.