OrganizationActive
Deaconess Memorial Medical Center Inc
NPI 1053920314 · Surgery Physician · Jasper, IN
Deaconess Memorial Medical Center Inc is a Surgery Physician organization in Jasper, IN (NPI 1053920314).
Provider details
- NPI number
- 1053920314
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Deaconess Memorial Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Keith Miller, Cao & Indiana Region President(812) 996-0507
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1025 1st Ave W Ste B
Jasper, IN 47546-3217
Phone: (812) 996-6580
Fax: (812) 996-6581
Street-level locationGet directions
Mailing address
800 W 9th St
Jasper, IN 47546-2514
Other names (DBA / former)
- Doing business as
- Memorial Surgical Associates
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Deaconess Memorial Medical Center Inc's NPI number?
- Deaconess Memorial Medical Center Inc's National Provider Identifier (NPI) is 1053920314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deaconess Memorial Medical Center Inc?
- Deaconess Memorial Medical Center Inc is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Deaconess Memorial Medical Center Inc located?
- Deaconess Memorial Medical Center Inc's practice location on file with NPPES is 1025 1st Ave W Ste B, Jasper, IN 47546-3217.
- What is Deaconess Memorial Medical Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Deaconess Memorial Medical Center Inc is (812) 996-6580.
- Who is the authorized official for Deaconess Memorial Medical Center Inc?
- The authorized official listed on Deaconess Memorial Medical Center Inc's NPPES record is Keith Miller, Cao & Indiana Region President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deaconess Memorial Medical Center Inc's NPI active?
- Yes — Deaconess Memorial Medical Center Inc's NPI (1053920314) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.