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ADVANCED SURGICAL TECHNOLOGY LLC NPI 1497159024


NPI Information

NPI: 1497159024
Provider Name: ADVANCED SURGICAL TECHNOLOGY, LLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 14D2231713

Address:
4200 WILLIAMSON PL STE 1A
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 899-9200
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ADVANCED SURGICAL TECHNOLOGY, LLC is a surgery in Mount Vernon, IL. The provider is 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. ADVANCED SURGICAL TECHNOLOGY, LLC NPI is 1497159024. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4200 WILLIAMSON PL STE 1A
MOUNT VERNON, IL
ZIP 62864-705
Phone: (618) 899-9200
Fax: (618) 899-9206

The provider's authorized official is Sandra L Adams .
The authorized official title is Office Administrator and has the following contact phone number (618) 969-8317.

The CLIA number assigned to this NPI record is 14D2231713 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/10/2014 and was last updated on 7/17/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery036115674ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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