DEACONESS MEMORIAL MEDICAL CENTER INC – NPI #1790863835
Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
DEACONESS MEMORIAL MEDICAL CENTER INC is a provider located in JASPER, IN. NPPES has assigned the NPI number 1790863835 to DEACONESS MEMORIAL MEDICAL CENTER INC on November 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology
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
(more than 19 years ago)
SUITE 122
JASPER, IN 47546-1855 Phone: (812) 482-0626 Fax: (812) 482-0650
JASPER, IN 47547-1028 Phone: (812) 481-8483 Fax: (812) 481-8497
CAO & INDIANA REGION PRESIDENT
Phone: (812) 996-0507
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.
Identifiers for DEACONESS MEMORIAL MEDICAL CENTER INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| other | RAILROAD MEDICARE | IN | CB1118 |
| medicaid | IN | 200048850N |
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 |
|---|---|---|
| 207RH0003X - Internal Medicine / Hematology & Oncology (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.