DEACONESS SPECIALTY PHYSICIANS, INC
NPI 1174295224
Internal Medicine - Interventional Cardiology in Carmi, IL

NPI Status: Active since September 28, 2021

Contact Information

1103 W MAIN ST
CARMI, IL
ZIP 62821
Phone: (618) 842-4617
Fax: (618) 380-4565

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  • Organization
  • Internal Medicine
  • Interventional Cardiology
  • Accepts Insurance

About DEACONESS SPECIALTY PHYSICIANS, INC

This page provides the complete NPI Profile along with additional information for Deaconess Specialty Physicians, Inc, an internist established in Carmi, Illinois operating as a Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1174295224 assigned on September 2021. The practitioner's primary taxonomy code is 207RI0011X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Deaconess Specialty Physicians, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Cheryl Annette Wathen (Secretary-treasurer)

NPI
1174295224
Provider Name
DEACONESS SPECIALTY PHYSICIANS, INC
Entity Type
Organization
Location Address
1103 W MAIN ST CARMI, IL 62821
Location Phone
(618) 842-4617
Location Fax
(618) 380-4565
Mailing Address
PO BOX 1230 EVANSVILLE, IN 47706
Mailing Phone
(812) 450-6815
Mailing Fax
(618) 380-4565
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2021
Last Update Date
09-28-2021
Code Navigator

An internist like Deaconess Specialty Physicians, Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Interventional Cardiology

Taxonomy Code
207RI0011X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
2207RC0001XAllopathic & Osteopathic Physicians

Internal Medicine
Clinical Cardiac Electrophysiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHERYL ANNETTE WATHEN

Authorized Official Title
SECRETARY-TREASURER
Authorized Official Phone
(812) 450-3296

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174295224
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144491024
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 4 + 9 + 1 + 0 + 2 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1174295224 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144206509HLS PHARMACIES INC.
Organization
Durable Medical Equipment & Medical Supplies1103 W MAIN ST
CARMI, IL 62821
(618) 382-5405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174295224, enumerated in the NPI registry as an "organization" on September 28, 2021

The provider is located at 1103 W Main St Carmi, Il 62821 and the phone number is (618) 842-4617

This medical organization specializes in Internal Medicine with taxonomy code 207RI0011X with a focus in Interventional Cardiology

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 28, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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