OrganizationActive
Deaconess Memorial Medical Center Inc
NPI 1821353814 · Urology Physician · Jasper, IN
Provider details
- NPI number
- 1821353814
- Entity type
- Organization
- Primary specialty
- Urology 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
Practice location
600 W 13th Street
Suite 105
Jasper, IN 47546-1882
Phone: (812) 996-5850
Fax: (812) 996-5874
Approximate (ZIP-level) locationGet directions
Mailing address
800 W 9th St
Jasper, IN 47546-2514
Other names (DBA / former)
- Doing business as
- Memorial Urology Associates
Registry dates
- Enumerated
- 2012-07-06
- 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.