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Organization
DEACONESS SPECIALTY PHYSICIANS INC
Active
Organization
DEACONESS SPECIALTY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
4219 GATEWAY BLVD, NEWBURGH, IN 47630-7925
(812) 858-3051
(812) 858-3060
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/05/2023
Last updated
04/28/2026
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