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
1900 SAINT CHARLES ST, JASPER, IN 47546-9145
(812) 490-4550
(812) 858-8664
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6879
(812) 450-6879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/29/2025
Last updated
09/29/2025
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