DEACONESS MEMORIAL MEDICAL CENTER, INC. – NPI #1902781644
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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 1902781644 to DEACONESS MEMORIAL MEDICAL CENTER, INC. on August 11, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Aug 20, 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
1902781644
Enumeration Date

(about 10 months 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 STE 225
JASPER, IN 47546-1817
Phone: (812) 996-7388 Fax: (812) 996-5933
Mailing address
800 W 9TH ST
JASPER, IN 47546-2514
Phone: (812) 996-1088 Fax: (812) 996-8497
Organization Subpart
No
Authorized Official
KEITH MILLER
CAO - INDIANA REGION PRESIDENT
Phone: (812) 996-0507
Updated
Certification Date
Aug 20, 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
207RN0300X
- Internal Medicine / Nephrology (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.