Deaconess IL Specialty Burns Ave – Interventional Cardiology Physician, NPI 1619684172

Deaconess IL Specialty Burns Ave is a healthcare provider. based in Belfast, Maine. specializing in Interventional Cardiology Physician. The NPI Number for Deaconess IL Specialty Burns Ave is 1619684172

Main info

Organization
Name
Deaconess IL Specialty Burns Ave
NPI
1619684172
Phone
(812) 450-6815
Address
PO BOX 34266
Authorized Official
KYLE DILLMAN SECRETARY TREASURER
Enumeration Date
3 November 2022
Last Update Date
26 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Deaconess IL Specialty Burns Ave

  • PO BOX 34266

    BELFAST, ME 049150620

    Phone: (812) 450-6815

    Fax: (812) 450-6822

    Type: Mailing

  • 205 S BURNS AVE

    SPARTA, IL 622861867

    Phone: (618) 443-2858

    Fax: (618) 939-4256

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04915)

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Frequently asked questions

What NPI should I save for Deaconess IL Specialty Burns Ave?
Save NPI 1619684172 if you need a stable reference for Deaconess IL Specialty Burns Ave.
Is Deaconess IL Specialty Burns Ave currently active in the NPI registry?
CMS-published data lists Deaconess IL Specialty Burns Ave as an active registrant.
Does Deaconess IL Specialty Burns Ave list a primary specialty?
If you are matching referrals, note Interventional Cardiology Physician for Deaconess IL Specialty Burns Ave. Clinical services aligned with this taxonomy classification.
What location metadata exists for Deaconess IL Specialty Burns Ave?
The page summarizes Belfast, Maine for Deaconess IL Specialty Burns Ave; expand the address list for detail.
Is Deaconess IL Specialty Burns Ave a real provider?
This page reflects official NPPES data for NPI 1619684172. Always confirm identity and privileges with the practice and licensing boards.

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