# DEACONESS SPECIALTY PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477247807
- **Authorized official:** CHERYL ANNETTE WATHEN (SECRETARY-TREASURER)
- **Authorized official phone:** (812) 450-3296

## Contact information

- **Practice address:** 4600 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
- **Practice address phone:** (812) 450-7246
- **Practice address fax:** (812) 450-4855
- **Mailing address:** PO BOX 1230, EVANSVILLE, IN 47706-1230
- **Mailing address phone:** (812) 450-6815
- **Mailing address fax:** (812) 450-6822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/07/2023
- **Last updated:** 01/13/2025