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Deaconess Memorial Medical Center Inc — NPI 1316440530, Jasper, IN | NPI Central

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NPI 1316440530

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Deaconess Memorial Medical Center Inc

NPI 1316440530 · Otolaryngology Physician · Jasper, IN

Provider details

NPI number: 1316440530
Entity type: Organization
Primary specialty: Otolaryngology 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

Otolaryngology PhysicianPrimary207Y00000X
Allopathic & Osteopathic Physicians

Practice location

251 S Truman Rd

Jasper, IN 47546-9768

Phone: (812) 996-5575

Fax: (812) 996-5580

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

800 W 9th St

Jasper, IN 47546-2514

Other names (DBA / former)

Doing business as: Memorial Ent Associates

Registry dates

Enumerated: 2018-03-14
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.