Organization · Type 2 NPI

Deaconess Memorial Medical Center Inc

Otolaryngology Physician · Jasper, IN

NPI number 1316440530 Active

Practice location

251 S Truman Rd
Jasper, IN 47546-9768

Call (812) 996-5575 Map

Fax (812) 996-5580

Mailing address

800 W 9th St
Jasper, IN 47546-2514

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

5 other providers at this address

Other otolaryngology physician providers in Jasper

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NPI record

NPI: 1316440530
Entity type: Organization (Type 2)
Issued: Mar 14, 2018
Last updated: Aug 27, 2025
Status: Active
Subpart: Yes of Deaconess Memorial Medical Center Inc

Other names

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Memorial Ent Associates · doing business as

Authorized official

Keith Miller
Cao & Indiana Region President
(812) 996-0507

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316440530

Deaconess Memorial Medical Center Inc's National Provider Identifier is 1316440530, issued on Mar 14, 2018. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Jasper, IN. The record was last updated on Aug 27, 2025.