Organization · Type 2 NPI

Deaconess Memorial Medical Center Inc

Surgery Physician · Jasper, IN

NPI number 1053920314 Active

Practice location

1025 1st Ave W Ste B
Jasper, IN 47546-3217

Fax (812) 996-6581

Mailing address

800 W 9th St
Jasper, IN 47546-2514

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1053920314

Deaconess Memorial Medical Center Inc's National Provider Identifier is 1053920314, issued on Jul 23, 2020. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Jasper, IN. The record was last updated on Aug 27, 2025.