Deaconess Speciality Physicians, Inc is a Orthopaedic Surgery Physician (organization) practicing in Petersburg, Indiana. The National Provider Identifier (NPI) is #1457289787, which was assigned on May 8, 2026, and the registration record was last updated on May 8, 2026. The practitioner's main practice location is at 1004 E Illinois St, Petersburg, IN 47567-8068; the contact telephone number is 8123548280. The primary taxonomy of Deaconess Speciality Physicians, Inc is Orthopaedic Surgery Physician (207X00000X). The authorized official for Deaconess Speciality Physicians, Inc is Cheryl Annette Wathen (Cfo).
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
| NPI | 1457289787 |
| Entity Type | Organization |
| Organization Name | DEACONESS SPECIALITY PHYSICIANS, INC |
| Provider Name | DEACONESS SPECIALITY PHYSICIANS, INC |
| Practice Address |
1004 E Illinois St Petersburg IN 47567-8068 |
| Practice Telephone | 8123548280 |
| Mailing Address |
Po Box 632111 Cincinnati OH 45263-2111 |
| Mailing Telephone | 8124506815 |
| Certification Date | 2026-05-08 |
| Enumeration Date | 2026-05-08 |
| Last Update Date | 2026-05-08 |
| Is Organization Subpart | N |
| Official Name | CHERYL ANNETTE WATHEN |
| Official Title | CFO |
| Telephone | 8124503296 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 193200000X MULTI-SPECIALTY GROUP | |||
| Y | 207X00000X | Orthopaedic Surgery | 193200000X MULTI-SPECIALTY GROUP |
| Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| Classification | Orthopaedic Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| Code | 363A00000X |
| Taxonomy | Physician Assistant |
| Classification | Physician Assistant |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Newton Physician Network LLC | 4415 Yucca Flats Trl, Fort Worth, TX 76108-8329 | Orthopaedic Surgery Physician | 2026-06-03 |
| Northwestern Medical Faculty Foundation | 351 Delnor Dr Ste 410, Geneva, IL 60134-4235 | Orthopaedic Surgery Physician | 2026-05-29 |
| Vytal Surgery Center of Bakersfield | 3941 San Dimas St Ste 102, Bakersfield, CA 93301-5711 | Orthopaedic Surgery Physician | 2026-05-29 |
| Dr Loren Tholcke Inc | 40949 Winchester Rd, Temecula, CA 92591-6031 | Orthopaedic Surgery Physician | 2026-05-28 |
| Northwestern Medical Faculty Foundation | 636 Raymond Dr Ste 100, Naperville, IL 60563-9790 | Orthopaedic Surgery Physician | 2026-05-29 |
| Greater Nassau Orthopedic | 95 Clinton Street, Hempstead, NY 11550-4211 | Orthopaedic Surgery Physician | 2026-06-05 |
| Public Hospital Dist No 1 Skagit | 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | Orthopaedic Surgery Physician | 2026-06-02 |
| Northwestern Medical Faculty Foundation | 885 Roosevelt Rd Ste 300, Glen Ellyn, IL 60137-6141 | Orthopaedic Surgery Physician | 2026-05-29 |
| Baptist Health | 1005 N Jackson Ste B, Magnolia, AR 71753-2447 | Orthopaedic Surgery Physician | 2026-06-03 |
| Northwestern Medical Faculty Foundation | 27650 Ferry Rd Ste 110, Warrenville, IL 60555-3846 | Orthopaedic Surgery Physician | 2026-05-29 |
| Find all providers with the same taxonomy | |||
| Street Address |
1004 E ILLINOIS ST |
| City | PETERSBURG |
| State | IN |
| Zip Code | 47567-8068 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Apex Physical Therapy, LLC | 1004 E Illinois St., Assumption, IL 62510 | Physical Therapy Clinic/Center | 2006-07-09 |
| Adam R Rudolph | 1004 E Illinois St, Petersburg, IN 47567-8068 | Student in an Organized Health Care Education/Training Program | 2018-03-27 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mark A Luff | 1003 E Illinois St, Petersburg, IN 47567-8068 | Family Medicine Physician | 2006-10-06 |
| Benjamin Joseph Stillman | 1003 E Illinois St, Petersburg, IN 47567-8068 | Family Medicine Physician | 2017-06-20 |
| Nicole L Stevenson · Nicole L Brenner | 1003 E Illinois St, Petersburg, IN 47567-8068 | Nurse Practitioner | 2010-08-12 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Pike County School Corp | 907 Walnut Street, Petersburg, IN 47567 | Local Education Agency (LEA) | 2007-05-02 |
| Robert C Greene | 712 E Main St, Petersburg, IN 47567-1231 | Rehabilitation Chiropractor | 2007-05-04 |
| Greene Specific Chiropractic Clinic PC | 712 E Main St, Petersburg, IN 47567-1231 | Rehabilitation Chiropractor | 2008-04-10 |
| Shania Louise Brewster | 1010 Abigail St, Petersburg, IN 47567-1055 | Behavior Technician | 2025-08-07 |
| Deaconess Memorial Medical Center Inc | 1003 E Illinois St, Petersburg, IN 47567 | Nurse Practitioner | 2006-09-15 |
| Amber D Russell | 400 E Main St, Petersburg, IN 47567-1245 | Social Worker | 2008-09-09 |
| Pike County Health Department | 801 E Main St, Petersburg, IN 47567-1249 | Public Health or Welfare Agency | 2008-10-07 |
| Lynnette M Matteson | 611 E Main Street, Suite 110, Petersburg, IN 47567-1270 | Nurse Practitioner | 2015-09-23 |
| Josie Whetstone | 611 E Main St Ste 110, Petersburg, IN 47567-1270 | Social Worker | 2025-05-21 |
| Renee T Abrassant Ramsey · Renee T Ramsey | 601 E Main St, Petersburg, IN 47567-1247 | Optometrist | 2006-09-27 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Deaconess Clinic, Inc | 114 Keeton Dr, Hopkinsville, KY 42240-8756 | Physician Assistant | 2026-06-04 |
| Physicians Healthy Hub | 4818 W Us Highway 90 Ste 100, Lake City, FL 32055-8397 | Multi-Specialty Clinic/Center | 2026-05-13 |
| The Physicians On Us | 230 E Ohio St, Chicago, IL 60611-3265 | Drama Therapist | 2026-05-13 |
| Rahma Physicians | 1130 Conroy Ln Ste 100, Roseville, CA 95661-4154 | Family Medicine Physician | 2026-03-30 |
| Apexcare Physicians LLC | 8595 Medical Center Blvd, Port Arthur, TX 77640-2428 | Family Nurse Practitioner | 2026-03-17 |
| Lawrence Physicians LLC | 330 Arkansas St Ste 120, Lawrence, KS 66044-1485 | Radiation Oncology Physician | 2026-04-16 |
| Aia Physicians Group, LLC | 971 Kuffel Canyon Rd., Sky Forest, CA 92385 | Counselor | 2013-08-26 |
| Healthstar Physicians PC | 744 Middle Creek Rd Ste 202, Sevierville, TN 37862-5036 | Orthopaedic Surgery Physician | 2026-04-13 |
| Apexcare Physicians LLC | 8595 Medical Center Blvd, Port Arthur, TX 77640-2428 | Family Nurse Practitioner | 2026-03-16 |
| Dr Triage Physicians P.A. | 6745 Phillips Ind Blvd, Jacksonville, FL 32256-3033 | Emergency Medicine Physician | 2026-03-10 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |