NPI 1255242517 · live from the CMS NPI Registry
Deaconess Speciality Physicians, INC
Podiatrist, Foot & Ankle Surgery in Jasper, IN. National Provider Identifier 1255242517, active.
NPI record
| NPI | 1255242517 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 645 W 5th St, Jasper, IN 47546 |
| Practice phone | 812-634-2778 |
| Mailing address | Po Box 632111, Cincinnati, OH 45263 |
| Enumerated | September 15, 2026 |
| Last updated | September 15, 2026 |
| Authorized official | Cheryl Wathen, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | — |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.