DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1346451465
Pediatrics in Jasper, IN

NPI Status: Active since May 24, 2007

Contact Information

721 W 13TH ST
SUITE 321
JASPER, IN
ZIP 47546
Phone: (812) 996-7918
Fax: (812) 996-1644

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  • Organization
  • Pediatrics
  • Accepts Insurance

About DEACONESS MEMORIAL MEDICAL CENTER INC

This page provides the complete NPI Profile along with additional information for Deaconess Memorial Medical Center Inc, a pediatrician established in Jasper, Indiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1346451465 assigned on May 2007. The practitioner's primary taxonomy code is 208000000X with license number 01038423A (IN). The provider is registered as an organization and their NPI record was last updated August 2025. Deaconess Memorial Medical Center Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's . The authorized official of this NPI record is Keith Miller (Cao & Indiana Region President)

NPI
1346451465
Provider Legal Name
DEACONESS MEMORIAL MEDICAL CENTER INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
721 W 13TH ST SUITE 321 JASPER, IN 47546
Location Phone
(812) 996-7918
Location Fax
(812) 996-1644
Mailing Address
PO BOX 150 JASPER, IN 47547
Mailing Phone
(812) 996-7918
Mailing Fax
(812) 996-1644
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-24-2007
Last Update Date
08-27-2025
Code Navigator

A pediatrician like Deaconess Memorial Medical Center Inc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
01038423A
License State
IN
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEITH MILLER

Authorized Official Title
CAO & INDIANA REGION PRESIDENT
Authorized Official Phone
(812) 996-0507

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200048850PMEDICAID (05)IN 

Reviews for DEACONESS MEMORIAL MEDICAL CENTER INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346451465
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386852412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 8 + 5 + 2 + 4 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1346451465 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619977337MRS. CINDY L CASEY DO
Individual
Radiology (Diagnostic Radiology)721 W 13TH ST
JASPER, IN 47546
(812) 481-2240
1902881436MR. DOUGLAS A BIES MD
Individual
Pediatrics721 W 13TH ST STE 321
JASPER, IN 47546
(812) 482-7918
1932184256MR. MICHAEL E RUFF MD
Individual
Pediatrics721 W 13TH ST STE 321
JASPER, IN 47546
(812) 482-7918
1376510958MR. DONALD JUDE VENNEKOTTER M.D.
Individual
Surgery721 W 13TH ST SUITE 220
JASPER, IN 47546
(812) 482-4494
1356310627DR. ANN B PATTERSON M.D.
Individual
Family Medicine721 W 13TH ST SUITE 322
JASPER, IN 47546
(812) 634-6646
1609813070 ROBERT VOGLER LCSW
Individual
Social Worker (Clinical)721 W 13TH ST
JASPER, IN 47546
(812) 481-5781
1801983432 RAJAIE A OBAID M.D.
Individual
Psychiatry & Neurology (Neurology)721 W 13TH ST SUITE #221
JASPER, IN 47546
(812) 481-5781
1841413945MRS. KARA LYNN GLENDENING LSW
Individual
Social Worker (Clinical)721 W 13TH ST SUITE 101
JASPER, IN 47546
(812) 481-5780
1093919086ROBERT A EHRHARD, MDIN, PC
Organization
Otolaryngology721 W 13TH ST SUITE 325
JASPER, IN 47546
(812) 634-6700
1033317169ANN B. PATTERSON MD, PC
Organization
Family Medicine721 W 13TH ST STE 322
JASPER, IN 47546
(812) 634-6646
1194915298 SOHAIL QADIR M.D.
Individual
Internal Medicine (Pulmonary Disease)721 W 13TH ST SUITE 221
JASPER, IN 47546
(812) 482-0564
1619932357DR. DOUGLAS LEE FOERTSCH MD
Individual
Urology721 W 13TH ST #222
JASPER, IN 47546
(812) 634-2737
1285973016ANN B PATTERSON MD PC
Organization
Clinic/Center (Primary Care)721 W 13TH ST SUITE 322
JASPER, IN 47546
(812) 634-6646
1427481852 KRISTEN EL-HOUJAIRY
Individual
Nurse Practitioner721 W 13TH ST SUITE 325
JASPER, IN 47546
(812) 996-5781
1427482074EVAN B HURST, MD, INTERNAL MEDICINE, PC
Organization
Clinic/Center (Primary Care)721 W 13TH ST SUITE 322
JASPER, IN 47546
(812) 309-3055
1245270214MRS. YVONNE ROMINGER RN CFNP
Individual
Nurse Practitioner (Pediatrics)721 W 13TH ST STE 321
JASPER, IN 47546
(812) 996-7918
1336530500 NICOLE NALE LCSW
Individual
Social Worker (Clinical)721 W 13TH ST SUITE 121
JASPER, IN 47546
(812) 996-5780
1427424910MRS. APRIL SUSNJARA LCSW
Individual
Social Worker (Clinical)721 W 13TH ST SUITE 121
JASPER, IN 47546
(812) 996-5780
1760758742 KATHIRENE ANN WILCOXEN M.D.
Individual
Pediatrics721 W 13TH ST SUITE 321
JASPER, IN 47546
(812) 996-7918
1154789436RICHARD MOSS MD
Organization
Clinic/Center (Medical Specialty)721 W 13TH ST SUITE 208
JASPER, IN 47546
(812) 634-6666

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346451465, enumerated in the NPI registry as an "organization" on May 24, 2007

The provider is located at 721 W 13th St Suite 321 Jasper, In 47546 and the phone number is (812) 996-7918

This medical organization specializes in Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.