DEACONESS MEMORIAL MEDICAL CENTER INC – NPI #1891049417
Internal Medicine

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Health Care Provider Taxonomy Code for Internal Medicine

DEACONESS MEMORIAL MEDICAL CENTER INC is a provider located in JASPER, IN. NPPES has assigned the NPI number 1891049417 to DEACONESS MEMORIAL MEDICAL CENTER INC on November 05, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RE0101X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism

The NPI profile was last updated on Aug 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEACONESS MEMORIAL MEDICAL CENTER INC below.

NPI Profile for
DEACONESS MEMORIAL MEDICAL CENTER INC

NPI Number
1891049417
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEACONESS MEMORIAL MEDICAL CENTER INC
Primary location
721 W 13TH ST
SUITE 322
JASPER, IN 47546-1855
Phone: (812) 996-0521 Fax:
Mailing address
800 W 9TH ST
JASPER, IN 47546-2514
Phone: Fax:
Organization Subpart
Yes - DEACONESS MEMORIAL MEDICAL CENTER INC is subpart of another organization.
Authorized Official
KEITH MILLER
CAO & INDIANA REGION PRESIDENT
Phone: (812) 996-0507
Updated
Certification Date
Aug 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RE0101X
- Internal Medicine / Endocrinology, Diabetes & Metabolism (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.