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DEACONESS MEMORIAL MEDICAL CENTER INC
NPI 1689770083
Family Medicine in Petersburg, IN

Active since September 15, 2006
1003 E ILLINOIS ST, PETERSBURG, IN 47567(812) 354-3458(812) 354-3459 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, Jul 17, 2018 (2 updates tracked since 2018).

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 1689770083), doing business as Petersburg Family Medicine, is a healthcare organization registered as a family medicine in Petersburg, Indiana and active in the NPI registry since September 2006. The organization lists Keith Miller, Cao & Indiana Region President, as its authorized official.

NPPES Registry Identity

NPI1689770083
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS MEMORIAL MEDICAL CENTER INC
Location Address1003 E ILLINOIS STPetersburg, IN 47567
Mailing Address800 W 9th StJasper, IN 47546-2514 · (812) 996-8478
Phone(812) 354-3458
Fax(812) 354-3459
Organization SubpartYes
Authorized OfficialKeith MillerCao & Indiana Region President · (812) 996-0507
Enumeration DateSeptember 15, 2006
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1689770083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1003 E ILLINOIS ST, Petersburg, IN 47567
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Other Names 1

Doing Business AsPetersburg Family Medicine

Other Identifiers 2

OtherCB3118IN · Medicare Railroad
Medicaid200048850KIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE L STEVENSON MSN-NPC
Nurse Practitioner (Family)
1003 E ILLINOIS ST
PETERSBURG, IN 47567
Pike County (812) 354-3485
BENJAMIN JOSEPH STILLMAN DO
Family Medicine
1003 E ILLINOIS ST
PETERSBURG, IN 47567
Pike County (812) 354-3458
MARK A LUFF M.D.
Family Medicine
1003 E ILLINOIS ST
PETERSBURG, IN 47567
Pike County (812) 354-3458

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 1689770083. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Petersburg Family Medicine.

Where is Deaconess Memorial Medical Center Inc located?

Deaconess Memorial Medical Center Inc is located at 1003 E Illinois St, Petersburg, IN 47567. The listed phone number is (812) 354-3458.

What is Deaconess Memorial Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Deaconess Memorial Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource 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 March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.