Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deaconess Specialty Physicians Inc

Organization Nephrology Physician · NPI 1407647985

Deaconess Specialty Physicians Inc is a Nephrology Physician in Jasper, Indiana. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

721 W 13th St
Jasper, IN 47546-1855
Phone: (812) 996-7388
Fax: (812) 996-5933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1407647985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
NPI enumeratedMay 14, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing addressPo Box 632111, Cincinnati, OH 45263-2111

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