Provider Type Icon

PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS NPI 1831337450


NPI Information

NPI: 1831337450
Provider Name: PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS

Doing Business As: ST MARYS GOOD SAMARITAN MEDICAL GROUP

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
4218 LINCOLNSHIRE DR
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 532-9350
Get Directions

PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS 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. PHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS NPI is 1831337450. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Marys Good Samaritan Medical Group.

The provider's business location address is:

4218 LINCOLNSHIRE DR
MOUNT VERNON, IL
ZIP 62864-156
Phone: (618) 532-9350

The provider's authorized official is Tammy L Simonton .
The authorized official title is Billing Mng and has the following contact phone number (618) 436-6267.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 2/4/2009.


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
1208600000XSurgery036113387ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1211409MEDICARE OSCAR/CERTIFICATIONILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.