DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1053920314
Surgery in Jasper, IN

Q: What is Deaconess Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 23, 2020

1025 1ST AVE W STE B, JASPER, IN 47546(812) 996-6580(812) 996-6581 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Deaconess Memorial Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEACONESS MEMORIAL MEDICAL CENTER INC (NPI 1053920314), doing business as Memorial Surgical Associates, is a healthcare organization registered as a surgery in Jasper, Indiana and active in the NPI registry since July 2020. The organization lists Keith Miller, Cao & Indiana Region President, as its authorized official.

NPPES Registry Identity

NPI1053920314

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameDEACONESS MEMORIAL MEDICAL CENTER INC

Location Address1025 1ST AVE W STE BJasper, IN 47546-3217

Mailing Address800 W 9th StJasper, IN 47546-2514 · (812) 996-8478 · Fax (812) 996-8497

Phone(812) 996-6580

Fax(812) 996-6581

Organization SubpartYes

Authorized OfficialKeith MillerCao & Indiana Region President · (812) 996-0507

Enumeration DateJuly 23, 2020

Last NPPES UpdateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1053920314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

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 increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1025 1ST AVE W STE B, Jasper, IN 47546

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Other Names 1

Doing Business AsMemorial Surgical Associates

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deaconess Memorial Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

171

Medicare enrollment records show 171 clinicians reassign Medicare billing to Deaconess Memorial Medical Center Inc, which bills Medicare for the services they deliver. Of these, 68 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Nurse Practitioner53

Family Practice20

Emergency Medicine16

Diagnostic Radiology12

Hospitalist12

Internal Medicine9

Psychiatry7

Cardiovascular Disease (Cardiology)5

18 other specialties37

Nearest to this location (20)

See all 171

Patty Archer-Wahl, FNP-C

Nurse Practitioner

NPI 1902205792

695 W 2ND ST SUITE 1A
Jasper, IN 47546

(812) 996-3550

✔ PECOS✔ Accepts Medicare0.4 mi

Christine Stairs, MD

Orthopedic Surgery

NPI 1306266093

695 W 2ND ST STE 2A
Jasper, IN 47546

(812) 996-5950

✔ PECOS✔ Accepts Medicare0.4 mi

Daniel Hedinger, FNP

Nurse Practitioner

NPI 1073674396

695 W 2ND ST
Jasper, IN 47546

(812) 996-5750

✔ PECOS0.4 mi

Logan Orr, DPM

Podiatry

NPI 1407416472

645 W 5TH ST
Jasper, IN 47546

(812) 634-2778

✔ PECOS✔ Accepts Medicare0.5 mi

Travis Hubbuch, DPM

Podiatry

NPI 1508157280

645 W 5TH ST
Jasper, IN 47546

(812) 634-2778

✔ PECOS✔ Accepts Medicare0.5 mi

Adam Dawkins, MD

Cardiovascular Disease (Cardiology)

NPI 1588638993

440 SCOTT ROLEN DR
Jasper, IN 47546

(812) 482-5656

✔ PECOS✔ Accepts Medicare0.6 mi

Geoffrey Day, MD

Cardiovascular Disease (Cardiology)

NPI 1407903396

440 SCOTT ROLEN DR
Jasper, IN 47546

(812) 482-5656

✔ PECOS✔ Accepts Medicare0.6 mi

Cassandra Robertson, DO

Family Practice

NPI 1124657747

751 W 9TH ST
Jasper, IN 47546

(812) 996-7474

✔ PECOS✔ Accepts Medicare0.6 mi

Kenedi Divine, MD

Family Practice

NPI 1275276560

751 W 9TH ST
Jasper, IN 47546

(812) 996-7474

✔ PECOS✔ Accepts Medicare0.6 mi

Martha Yearsley, M.D.

Internal Medicine

NPI 1386618007

1005 DORBETT ST
Jasper, IN 47546

(812) 482-5700

✔ PECOS✔ Accepts Medicare0.7 mi

Logan Dellinger, D.O.

Emergency Medicine

NPI 1710392667

800 W 9TH ST
Jasper, IN 47546

(812) 996-0323

✔ PECOS✔ Accepts Medicare0.7 mi

Stephen Dewitt, D.O.

Emergency Medicine

NPI 1225192362

800 W 9TH ST
Jasper, IN 47546

(812) 996-0323

✔ PECOS✔ Accepts Medicare0.7 mi

Joseph El Houjairy, MD

Hospitalist

NPI 1932231388

800 W 9TH ST
Jasper, IN 47546

(812) 481-0188

✔ PECOS✔ Accepts Medicare0.7 mi

Adam Songer, MD

Hospitalist

NPI 1255642419

800 W 9TH ST
Jasper, IN 47546

(812) 996-8584

✔ PECOS✔ Accepts Medicare0.7 mi

Ashton Dixon, DO

Pediatric Medicine

NPI 1790245926

800 W 9TH ST
Jasper, IN 47546

(812) 996-7918

✔ PECOS0.7 mi

Sarah Becher, LCSW

Clinical Social Worker

NPI 1295287886

800 W 9TH ST
Jasper, IN 47546

(812) 996-2345

✔ PECOS✔ Accepts Medicare0.7 mi

Erin Sendelweck Temple, M.D.

Anesthesiology

NPI 1568626919

800 W 9TH ST
Jasper, IN 47546

(812) 996-2345

✔ PECOS✔ Accepts Medicare0.7 mi

Amy Wigand, M.D.

Diagnostic Radiology

NPI 1619060290

800 W 9TH ST
Jasper, IN 47546

(812) 482-0524

✔ PECOS✔ Accepts Medicare0.7 mi

Sohail Qadir, M.D.

Pulmonary Disease

NPI 1194915298

721 W 13TH ST SUITE 221
Jasper, IN 47546

(812) 482-0564

✔ PECOS✔ Accepts Medicare0.8 mi

David Phillips, MD, MS

Otolaryngology

NPI 1720425192

721 W 13TH ST STE 325
Jasper, IN 47546

(812) 996-5575

✔ PECOS✔ Accepts Medicare0.8 mi

See all 171 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deaconess Memorial Medical Center Inc's NPI number?

The NPI number for Deaconess Memorial Medical Center Inc is 1053920314. It was assigned to this organization in the NPPES registry on July 23, 2020. The provider is doing business as Memorial Surgical Associates.

Where is Deaconess Memorial Medical Center Inc located?

Deaconess Memorial Medical Center Inc is located at 1025 1st Ave W Ste B, Jasper, IN 47546. The listed phone number is (812) 996-6580.

What is Deaconess Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Deaconess Memorial Medical Center Inc enrolled in Medicare?

Yes. Deaconess Memorial Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Memorial Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 26 Medicare specialties reassign their Medicare billing to Deaconess Memorial Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (53), Family Practice (20) and Emergency Medicine (16). Of these, 68 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Deaconess Memorial Medical Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Deaconess Memorial Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Deaconess Memorial Medical Center Inc was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.