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

Deaconess Memorial Medical Center Inc

Organization Pediatrics Physician · NPI 1346451465

Deaconess Memorial Medical Center Inc is a Pediatrics Physician in Jasper, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
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

721 W 13th St Ste 321
Jasper, IN 47546-1855
Phone: (812) 996-7918
Fax: (812) 996-1644
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01038423A (IN)

Record details

NPI number1346451465
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDeaconess Memorial Medical Center Inc
Authorized official Keith Miller — Cao & Indiana Region President · (812) 996-0507
Other names Jasper Pediatrics Of Memorial Hospital And Healthcare Center
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing addressPo Box 150, Jasper, IN 47547-0150

Other providers in Jasper