DEACONESS SPECIALTY PHYSICIANS INC – NPI #1407647985
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 SPECIALTY PHYSICIANS INC is a provider located in JASPER, IN. NPPES has assigned the NPI number 1407647985 to DEACONESS SPECIALTY PHYSICIANS INC on May 14, 2025. 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

The NPI profile was last updated on Oct 22, 2025. 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 SPECIALTY PHYSICIANS INC below.

NPI Profile for
DEACONESS SPECIALTY PHYSICIANS INC

NPI Number
1407647985
Enumeration Date

(more than a year 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 SPECIALTY PHYSICIANS INC
Primary location
721 W 13TH ST
JASPER, IN 47546-1855
Phone: (812) 996-7388 Fax: (812) 996-5933
Mailing address
PO BOX 632111
CINCINNATI, OH 45263-2111
Phone: (812) 450-6879 Fax: (812) 858-4586
Organization Subpart
No
Authorized Official
CHERYL WATHEN
CFO
Phone: (812) 450-3296
Updated
Certification Date
Oct 22, 2025

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.