Novamed Eye Surgery Center Of Maryville, Llc in Maryville - Nurse Anesthetist, Certified Registered

Novamed Eye Surgery Center Of Maryville, Llc - NPI 1023055696

Novamed Eye Surgery Center Of Maryville, Llc is a Nurse Anesthetist, Certified Registered in Maryville, Illinois. Novamed Eye Surgery Center Of Maryville, Llc practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Novamed Eye Surgery Center Of Maryville, Llc is 1023055696. The last update date is 2008-04-20.

Novamed Eye Surgery Center Of Maryville, Llc's current location address is 12 Professional Park Dr, Maryville, Illinois. You can contact this provider via phone number 6182887483 and fax number 6182887196. The mailing address for Novamed Eye Surgery Center Of Maryville, Llc is 12 Professional Park Dr, Maryville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Novamed Eye Surgery Center Of Maryville, Llc
Address 12 Professional Park Dr, Maryville, Illinois
Phone Number 6182887483
Fax Number 6182887196
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Macomber T. Scott
Telephone Number 3127803234

NPI Number Detail

NPI Number 1023055696
Provider Enumeration Date 2006-06-01
Last Updated Date 2008-04-20

Provider Mailing Address Detail

Address 12 Professional Park Dr
City Maryville
State Illinois (IL)
Post Code 620625672
Phone Number 6182887483
Fax Number 6182887196

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No 7002132
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6032183 IL BCBS OF IL

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FAQs about Novamed Eye Surgery Center Of Maryville, Llc

What is the unique 10-digit identifier code issued to Novamed Eye Surgery Center Of Maryville, Llc by the Centers for Medicare & Medicaid Services?

The Novamed Eye Surgery Center Of Maryville, Llc has been assigned the NPI (National Provider Identifier) 1023055696 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Novamed Eye Surgery Center Of Maryville, Llc's facilities are situated?

The facilities of Novamed Eye Surgery Center Of Maryville, Llc are physically located at the following address: 12 Professional Park Dr, Maryville, IL, 620625672.

What is Novamed Eye Surgery Center Of Maryville, Llc's area of expertise and its corresponding taxonomy classification?

The Novamed Eye Surgery Center Of Maryville, Llc's field of specialization is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Novamed Eye Surgery Center Of Maryville, Llc receive the assignment of its 1023055696 from the Centers for Medicare & Medicaid Services?

The Novamed Eye Surgery Center Of Maryville, Llc was issued its 1023055696 by the Centers for Medicare & Medicaid Services on 2006-06-01.

When was the information regarding Novamed Eye Surgery Center Of Maryville, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Novamed Eye Surgery Center Of Maryville, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.

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