Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Deaconess Memorial Medical Center Inc

Psychiatry Physician in Jasper, IN · enumerated 2006 · authorized official Keith Miller, Cao & Indiana Region President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861420689

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Registry record

Entity type Organization (Type 2)

Legal business name Deaconess Memorial Medical Center Inc

Other name <Unavail>

Parent organization Deaconess Memorial Medical Center Inc

Practice address 721 W 13th St, Suite 101, Jasper, IN, 47546

Phone (812) 481-5780

Enumeration date Jun 29, 2006

Last updated in NPPES Aug 27, 2025

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Keith Miller

Title Cao & Indiana Region President

Phone (812) 996-0507

Other identifiers

Identifier	Type	State	Issuer
CB3118	Other	IN	RAILROAD MEDICARE
200048850C	Medicaid	IN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-08-27. Verify at npiregistry.cms.hhs.gov.

Where is Deaconess Memorial Medical Center Inc located?

The practice location on file with NPPES is in Jasper, IN.

Providers at this address

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Cindy Casey Diagnostic Radiology Physician · Jasper, IN NPI 1619977337 Douglas Bies Pediatrics Physician · Jasper, IN NPI 1902881436 Michael Ruff Pediatrics Physician · Jasper, IN NPI 1932184256 Donald Vennekotter Surgery Physician · Jasper, IN NPI 1376510958 Ann Patterson Family Medicine Physician · Jasper, IN NPI 1356310627 Douglas Foertsch Urology Physician · Jasper, IN NPI 1619932357 Richard Moss Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Jasper, IN NPI 1326097619 Jasper Pediatric Associates PC Pediatrics Physician · Jasper, IN NPI 1992752612

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-27.