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

Deaconess Memorial Medical Center Inc

Organization Family Medicine Physician · NPI 1689770083

Deaconess Memorial Medical Center Inc is a Family Medicine Physician in Petersburg, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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

1003 E Illinois St
Petersburg, IN 47567
Phone: (812) 354-3458
Fax: (812) 354-3459
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Rural Health Clinic/Center Taxonomy 261QR1300X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1689770083
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 Petersburg Family Medicine; Petersburg Family Medicine
NPI enumeratedSeptember 15, 2006
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address800 W 9th St, Jasper, IN 47546-2514

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