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

Deaconess Clinic Inc

Organization Family Medicine Physician · NPI 1811788862

Deaconess Clinic Inc is a Family Medicine Physician in Jasper, Indiana. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
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

751 W 9th St
Jasper, IN 47546-2609
Phone: (812) 996-7474
Fax: (812) 886-0653
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1811788862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cheryl Wathen — Cfo · (812) 450-3296
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing addressPo Box 631767, Cincinnati, OH 45263-2767

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