Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Deaconess Memorial Medical Center Inc

Organization Surgery Physician · NPI 1912579574

Deaconess Memorial Medical Center Inc provides Surgery Physician services in Jasper, Indiana. Registered with an NPI since 2021.

In the registry since
2021
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 220
Jasper, IN 47546-1817
Phone: (812) 996-6580
Fax: (812) 996-6581
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1912579574
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 Memorial Surgical Associates; Memorial Surgical Associates
NPI enumeratedJuly 13, 2021
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address800 W 9th St, Jasper, IN 47546-2514

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