OrganizationActive
Deaconess Memorial Medical Center Inc
NPI 1104452200 · Family Medicine Physician · Jasper, IN
Provider details
- NPI number
- 1104452200
- Entity type
- Organization
- Primary specialty
- Family Medicine 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
6 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
695 W 2nd St Ste D
Jasper, IN 47546-3240
Phone: (812) 996-6330
Fax: (812) 996-6331
Street-level locationGet directions
Mailing address
800 W 9th St
Jasper, IN 47546-2514
Other names (DBA / former)
- Doing business as
- Alternative Screening Site
- Doing business as
- Alternative Screening Site
Registry dates
- Enumerated
- 2020-03-20
- Last updated
- 2025-08-27
- Certified
- 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.