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

Deaconess Memorial Medical Center Inc

Organization Internal Medicine Physician · NPI 1972516110

Deaconess Memorial Medical Center Inc is an Internal Medicine Physician in Jasper, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
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) 996-0400
Fax: (812) 996-0653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 01062502A (IN)

Record details

NPI number1972516110
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDeaconess Memorial Medical Center Inc
Authorized official Keith Miller — Cao & Indiana Region President · (812) 996-2345
Other names Memorial Internal Medicine
NPI enumeratedAugust 15, 2006
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address800 W 9th St, Jasper, IN 47546-2514

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