DEACONESS SPECIALITY PHYSICIANS, INC – NPI #1306418405
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

DEACONESS SPECIALITY PHYSICIANS, INC is a provider located in HENDERSON, KY. NPPES has assigned the NPI number 1306418405 to DEACONESS SPECIALITY PHYSICIANS, INC on July 16, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEACONESS SPECIALITY PHYSICIANS, INC below.

NPI Profile for
DEACONESS SPECIALITY PHYSICIANS, INC

NPI Number
1306418405
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEACONESS SPECIALITY PHYSICIANS, INC
Primary location
340 STARLITE DR
HENDERSON, KY 42420-6102
Phone: (812) 492-5202 Fax: (812) 450-8102
Mailing address
PO BOX 1230
EVANSVILLE, IN 47706-1230
Phone: Fax:
Organization Subpart
No
Authorized Official
CHERYL WATHEN
CFO
Phone: (812) 450-3296
Updated
Certification Date
Jul 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
363L00000X
- Nurse Practitioner
363A00000X
- Physician Assistant

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.